MR. JESSE LEE GOODMAN PA-C
NPI 1699843342
Physician Assistant in Lawton, OK

Q: What is Jesse Goodman's NPI number?

The NPI number for Jesse Goodman is 1699843342. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Jesse Goodman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Goodman was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2006

1515 NE LAWRIE TATUM RD, LAWTON, OK 73507(580) 354-5100(580) 354-5105 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jesse Lee Goodman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESSE LEE GOODMAN PA-C (NPI 1699843342) is an individual physician assistant in Lawton, Oklahoma, licensed in Oklahoma (2244) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1699843342

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JESSE LEE GOODMANCredential: PA-C

Location Address1515 NE LAWRIE TATUM RDLawton, OK 73507-3002

Mailing Address1515 Ne Lawrie Tatum RdLawton, OK 73507-3002 · (580) 354-5100 · Fax (580) 354-5105

Phone(580) 354-5100

Fax(580) 354-5105

Sole ProprietorYes

Enumeration DateDecember 1, 2006

Last NPPES UpdateApril 16, 2013

✔ NPI 1699843342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 2244

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1515 NE LAWRIE TATUM RD, Lawton, OK 73507

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARTHA COLLEEN FARLEY D.PH.

Pharmacist