Provider Demographics
NPI:1366448672
Name:GOOGE, JOSEPH MORRIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MORRIS
Last Name:GOOGE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 EXECUTIVE PARK DR STE 202A
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4670
Mailing Address - Country:US
Mailing Address - Phone:423-756-1512
Mailing Address - Fax:865-934-3884
Practice Address - Street 1:1124 E WEISGARBER RD
Practice Address - Street 2:STE 207
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2686
Practice Address - Country:US
Practice Address - Phone:865-588-0811
Practice Address - Fax:865-584-2153
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12338207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN180007772OtherRAILROAD MEDICARE
TN3019187Medicaid
VA6330118Medicaid
TN3019187Medicare PIN
VA6330118Medicaid