BRYAN W GOSS (NPI# 1124021233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124021233 |
| Entity Type | Individual |
| Full Name | BRYAN W GOSS |
| Credential | MD |
| Practice Address |
455 Saint Michaels Dr Santa Fe NM 87505-7601 |
| Practice Telephone | 5059135233 |
| Practice Fax Number | 5059136466 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2004-0235 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 32751575 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164970364 | Bryan John Goss | Nurse Practitioner | 922 E Call St, Starke, FL 32091-3616 | 2016-09-15 |
| Street Address |
455 SAINT MICHAELS DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324996 | Ashley Dawn Powell | Pharmacist | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-10-22 |
| 1356949549 | Leo Santos | Nurse Practitioner | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-10-11 |
| 1538772751 | Audrea Nicole Nolan | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-08-27 |
| 1912510165 | Antonio Samuel Gervais | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-08-27 |
| 1326664939 | Jesse August Schedler | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-06-19 |
| 1154945830 | Brett Elliff | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-05-29 |
| 1275156275 | Christopher Parrish | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-05-26 |
| 1255971453 | Juliana Ramos | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2020-01-15 |
| 1134766512 | Ying Xiong | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-12-05 |
| 1619511722 | Alexei Spoonde | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548238314 | Donald C Shina | Radiology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2006-03-09 |
| 1114901469 | Mary Ann Rose | Radiology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740593854 | High Plains Radiation Oncology, LLC | Radiology | 2219 Dillon Rd, Clovis, NM 88101-9454 | 2010-07-17 |
| 1881884195 | Carlsbad Regional Oscology Center | Radiology | 2428 West Pierce Street, Carlsbad, NM 88220-3512 | 2007-08-01 |
| 1114995990 | Cherie Jean Hayostek | Radiology | Msc07-4025, 1 University of New Mexico, Albuquerque, NM 87131-5141 | 2006-03-09 |
| 1306831862 | Ramesh Gopal | Radiology | M. D. Anderson At Presbyterian Kaseman Hospital, 8300 Constitution Ave., Albuquerque, NM 87100 | 2005-09-12 |
| 1285639443 | Ronda Sue Fleck | Radiology | 2428 W Pierce St, Carlsbad, NM 88220-3512 | 2005-06-15 |
| 1134124407 | William Thompson | Radiology | 1201 Camino De Salud Ne, Albuquerque, NM 87102-4517 | 2005-06-14 |
| 1588668941 | Mirkutub M. Khan | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-06-13 |
| 1528494747 | Otero County Medical Group | Radiology | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2013-09-19 |
| 1306125653 | Cancer Treatment and Prevention Specialist Inc | Radiology | 2450 S Telshor Blvd, Suite E, Las Cruces, NM 88011-5069 | 2011-08-04 |
| 1578876686 | High Plains Radiation Oncology, LLC | Radiology | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2010-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.