Jack R Goodman, MD - Urology in New Orleans, LA

Jack R Goodman, MD is a Urology physician based in New Orleans, Louisiana. Jack R Goodman is licensed to practice in Louisiana (license number 010553) and his current practice location is 200 Henry Clay Ave, New Orleans, Louisiana. He can be reached at his office (for appointments etc.) via phone at (504) 894-9432.

NPI number for Jack R Goodman is 1922110105 and his current mailing address is 200 Henry Clay Ave, New Orleans, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922110105.

Contact Information

Jack R Goodman, MD
200 Henry Clay Ave,
New Orleans, LA 70118-5720
(504) 894-9432
(504) 896-9432



Physician's Profile

Full NameJack R Goodman
GenderMale
SpecialityUrology
Location200 Henry Clay Ave, New Orleans, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922110105
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 12/04/2007

Medical Identifiers

Medical identifiers for Jack R Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922110105NPI-NPPES
1133922MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 010553 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack R Goodman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack R Goodman, MD
200 Henry Clay Ave,
New Orleans, LA 70118-5720

Ph: (504) 896-9432
Jack R Goodman, MD
200 Henry Clay Ave,
New Orleans, LA 70118-5720

Ph: (504) 894-9432

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› Verified 8 days ago


Urology Doctors in New Orleans, LA

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Dr. Aaron D Martin, M.D., M.P.H
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Practice Location: 200 Henry Clay Ave, New Orleans, LA 70118
Phone: 504-896-9233    Fax: 504-896-9861

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