Active NPI
Jeffrey Good
- Paramedic
- Bloomfield Hills, MI
National Provider Identifier
1659879872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 3201013518
- Practice address
- 1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046 - Phone
- (248) 456-8150
- NPI assigned
- Jan 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 3201013518 | MI | Primary |
Addresses
Primary practice location
1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046
Mailing address
2385 Hester CT Apt 2
Keego Harbor, MI 48320-1440
Phone (248) 291-4459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201013518 | MI | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1659879872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 HESTER CT APT 2",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201440",
"telephone_number": "248-291-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 S TELEGRAPH RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020046",
"telephone_number": "248-456-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MI",
"license": "3201013518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.