location
search-icon
person
Jerry L Goddard, MD
Family Medicine Physician in Carbondale, Illinois
NPI 1295711240

Jerry L Goddard is a Family Medicine Physician based in Carbondale, IL. Jerry L Goddard practices in Carbondale, IL and has the professional credentials of MD. The NPI Number for Jerry L Goddard is 1295711240 and holds a License No. 036-054846 (Illinois).

The current practice location address for Jerry L Goddard is 305 W Jackson St, Carbondale, IL and can be reached out via phone at 618-536-6621 and via fax at 618-453-1102.

Location: 305 W Jackson St, Carbondale, IL, 62901-1474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295711240
Provider Name
Jerry L Goddard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
305 W Jackson St, Carbondale, IL, 62901-1474
Phone Number
618-536-6621
Fax Number
618-453-1102
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
036054846 05 IL
institution
Provider Business Practice Location Address Details
Address
305 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1474
Phone Number
618-536-6621
Fax Number
618-453-1102
person
Provider Business Mailing Address Details
Address
305 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1474
Phone Number
618-536-6621
Fax Number
618-453-1102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-054846 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
036-054846 (Illinois)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Carbondale, Illinois:

person
Scott K Schonewolf
NPI 1114996204
Family Medicine Physician
305 W Jackson St,
CARBONDALE, IL
62901
618-453-3777
More