Jesse Goddard
Surgeon Trauma Surgeon Surgical Critical Care
300 Pine Grove Cmns
York
, Pennsylvania 17403-5176
Jesse Goddard
Surgeon Trauma Surgeon Surgical Critical Care
300 Pine Grove Cmns
York
, Pennsylvania 17403-5176
(717) 848-2074
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Jesse Goddard
- 3421 Concord Rd
- York, PA
- Zip : 17402-9001
- Fax : (717) 848-2074
- Phone : (717) 851-6110
Second Address
- Jesse Goddard
- 300 Pine Grove Cmns
- York, PA
- Zip : 17403-5176
- Fax : (717) 741-1076
- Phone : (717) 851-6110
Reviews
FAQs
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What type of doctor is Jesse Goddard
In what state does Jesse Goddard practice in?
Where is Jesse Goddard ’s practice located?
What is Jesse Goddard ’s gender?
Is Jesse Goddard a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD459118 | PA |
| N | 208600000X | Surgeon | MD459118 | PA |
| Y | 2086S0102X | Surgical Critical Care | MD459118 | PA |
| N | 2086S0127X | Trauma Surgeon | 46080 | KY |
National Provider Identifier
| NPI | 1093917221 |
|---|---|
| Provider Name | Jesse Goddard |
| First Address | York, PA 17402-9001 |
| Second Address | York, PA 17403-5176 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2007 |
| Last Update Date | 11/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103179835 | (05) | PA |
| PO1804579 | RAILROAD MEDICARE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.