JERI CLARK GOEN PA - C
NPI 1740355460
Physician Assistant - Medical in Tulsa, OK

Q: What is Jeri Goen's NPI number?

The NPI number for Jeri Goen is 1740355460. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Jeri Goen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeri Goen was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 21, 2006

3807 S PEORIA AVE, SUITE G AND H, TULSA, OK 74105(918) 359-7845(918) 359-7849 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeri Clark Goen Pa - C NPPES

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

JERI CLARK GOEN PA - C (NPI 1740355460) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (408) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1740355460

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJERI CLARK GOENCredential: PA - C

Location Address3807 S PEORIA AVE, SUITE G AND HTulsa, OK 74105-3145

Mailing Address1612 S College AveTulsa, OK 74104-5233 · (918) 902-0434

Phone(918) 359-7845

Fax(918) 359-7849

Sole ProprietorYes

Enumeration DateNovember 21, 2006

Last NPPES UpdateMarch 25, 2020

NPPES CertifiedMarch 25, 2020

✔ NPI 1740355460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 408

3807 S PEORIA AVE, Tulsa, OK 74105

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeri Goen's NPI number?

The NPI number for Jeri Goen is 1740355460. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Jeri Goen located?

Jeri Goen practices at 3807 S Peoria Ave Suite G And H, Tulsa, OK 74105. The listed phone number is (918) 359-7845.

What is Jeri Goen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jeri Goen was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.