Jeffrey Goodsell MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFREY GOODSELL MD PLLC

Doing business as

Fireside Primary Care

Practice address

148 Oak St
Glastonbury, CT 06033-2318

Phone

(860) 351-7401

Fax

(833) 973-6047

NPI assigned

Mar 17, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

JEFFREY GOODSELL MD PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Goodsell, MDNPI 1003296914

Title

Owner

Phone

(703) 268-8843

Specialties & licenses 1

Addresses

Other names 1

• Fireside Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Jeffrey Goodsell MD PLLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Goodsell, M.D.

  • Family Medicine Physician
  • Glastonbury, CT
  • NPI 1003296914
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1962202291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332318",
            "fax_number": "860-703-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332318",
            "telephone_number": "860-351-7401",
            "fax_number": "833-973-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY GOODSELL MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY GOODSELL MD PLLC",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "GOODSELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-268-8843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fireside Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fireside Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.