NPI 1720039951 · live from the CMS NPI Registry
Jennifer L Good, MD
Hospitalist in Wauwatosa, WI. National Provider Identifier 1720039951, active.
NPI record
| NPI | 1720039951 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Hospitalist 208M00000X |
| Practice location | 1155 N Mayfair Rd, Wauwatosa, WI 53226 |
| Practice phone | 414-955-5990 |
| Mailing address | 9200 W Wisconsin Ave, Internal Medicine Hospitalist, Milwaukee, WI 53226 |
| Enumerated | May 12, 2006 |
| Last updated | April 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 31744-20 (WI) |
| Internal Medicine | 207R00000X | 31744 (WI) |
| Internal Medicine, Pulmonary Disease | 207RP1001X | MD057253L (PA) |
| Internal Medicine, Critical Care Medicine | 207RC0200X | MD057253L (PA) |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | MD057253L (PA) |
| Hospitalist primary | 208M00000X | 31744 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.