DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHELBY GOODMAN PA-C

MEDICARE: SHELBY GOODMAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1760349450
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY GOODMAN PA-C
Provider Business Mailing Address
First Line : 10800 KNIGHTS RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number : 215-612-4000
Fax Number :
Provider Business Practice Location Address
First Line : 10800 KNIGHTS RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number : 215-612-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

Similar Medicare Providers

1679197354 — SAMANTHA CLAIRE TAUSCHER FLANCHER DO
Practice Location Address:
10800 KNIGHTS RD
PHILADELPHIA, PA
19114-4200
Practice Phone: 215-612-5161
Practice Fax:
1134694516 — RAAFEH WASEEM
Practice Location Address:
10800 KNIGHTS RD
PHILADELPHIA, PA
19114-4200
Practice Phone: 215-612-4000
Practice Fax:
1699126557 — MRS. BRIDGET BORODYANSKY PA-C
Practice Location Address:
10800 KNIGHTS RD
PHILADELPHIA, PA
19114-4200
Practice Phone: 215-612-4000
Practice Fax:
1982335519 — MIN WOO HWANG MD
Practice Location Address:
10800 KNIGHTS RD
PHILADELPHIA, PA
19114-4200
Practice Phone: 215-612-4000
Practice Fax:
1073508453 — DR. JOHN K MORAN MD
Practice Location Address:
10800 KNIGHTS RD , ATTN: RADIOLOGY
PHILADELPHIA, PA
19114-4200
Practice Phone: 215-612-2610
Practice Fax: 215-612-5077
1376533521 — JESSICA JERRARD DO
Practice Location Address:
10800 KNIGHTS RD
PHILADELPHIA, PA
19114-4200
Practice Phone: 215-612-4000
Practice Fax:

Directions to “ SHELBY GOODMAN PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.