National Provider Identifier
James Patrick Goode, PA-S
James Patrick Goode, PA-S is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 803-4020.
Profile Overview
- NPI
- 1134671878
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 28, 2016
- Last Updated
- May 27, 2020
Practice Location
- 246 Coventry Road
- Kenmore, NY 14217-1136
Phone: (716) 803-4020
Mailing Address
- 246 Coventry RD
- Kenmore, NY 14217-1136
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1134671878
- Entity Type
- Individual
- Last Name
- Goode
- First Name
- James
- Middle Name
- Patrick
- Credential
- PA-S
- Mailing Street Address
- 246 Coventry RD
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1136
- Mailing Country
- US
- Mailing Phone
- (716) 803-4020
- Practice Street Address
- 246 Coventry Road
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1136
- Practice Country
- US
- Practice Phone
- (716) 803-4020
- Enumeration Date
- October 28, 2016
- Last Updated
- May 27, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 27, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)