John Ethan Goodrich
MD | Pediatrics | Male
John Ethan Goodrich, MD is a Berkeley, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Ethan Goodrich is
2215 Rose St, Berkeley, California - 94709-1430. He can be contacted on phone at
424-366-3794.
John Ethan Goodrich is a sole proprietor of his business.
NPI number (Unique professional ID) for John Ethan Goodrich is
1124449442 which was assigned by NPPES on 06 Jan, 2014 and it was last updated on 08 Mar, 2023.
John Ethan Goodrich license number is
A149423 for Pediatrics (208000000X) in California.
John Ethan Goodrich is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Ethan Goodrich basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | John Ethan Goodrich |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John Ethan Goodrich address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2215 Rose St
Berkeley, CA, 94709-1430
United States |
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| Phone Number : | 424-366-3794 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124449442 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jan, 2014 |
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| Last Updated On : | 08 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Ethan Goodrich are as mentioned. Primary taxonomy code for John Ethan Goodrich, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A149423 | CA |
| 208000000X | Pediatrics | No | M-17073 | ID |
| 208M00000X | Hospitalist | No | A149423 | CA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1165 MONTGOMERY DR,
SANTA ROSA, CA, 95405-4801
United States | SANTA ROSA, CA | 707-525-5300 |
801 POLE LINE RD W,
TWIN FALLS, ID, 83301-5810
United States | TWIN FALLS, ID | 208-381-2645 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4610 X St
Sacramento, CA, 95817-2200
United States |
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| Phone Number : | 916-816-0478 |
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Business Location:
Patients can refer following map for directions to
John Ethan Goodrich practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.