MR. EVGENY GOLDMAN (NPI# 1184989139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184989139 |
| Entity Type | Individual |
| Full Name | MR. EVGENY GOLDMAN |
| Credential | M.D. |
| Practice Address |
6100 Hollywood Blvd Ste 300 Hollywood FL 33024-7982 |
| Mailing Address |
6100 Hollywood Blvd 300 Hollywood FL 33024 |
| Practice Telephone | 8446654827 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME127007 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 05727 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 10th Ave, Columbus, GA 319011513 | 7065711120 | 7065711603 |
| 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 321142765 | 3864254165 | 3864257545 |
| Street Address |
6100 HOLLYWOOD BLVD STE 300 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-7982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784269 | Mythili Penugonda | Family Medicine | 6100 Hollywood Blvd Ste 300, Hollywood, FL 33024-7982 | 2017-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1669931762 | Premier Healthcare Centers, LLC | Family Medicine | 9950 Stirling Rd Ste 108, Hollywood, FL 33024-8001 | 2019-03-18 |
| 1689026460 | Sanrol Medical Center Inc | Family Medicine | 7160 Stirling Rd, Hollywood, FL 33024-1650 | 2016-07-06 |
| 1366896904 | South Florida Family Medical Center, LLC. | Family Medicine | 7369 Sheridan St Ste 100, Hollywood, FL 33024 | 2016-04-20 |
| 1790032530 | Kyle Petersen | Family Medicine | 3157 N University Dr Ste 101, Hollywood, FL 33024-2258 | 2012-08-10 |
| 1699047654 | Gg Healthcare Pa | Family Medicine | 6241 Pembroke Rd, Hollywood, FL 33023-2215 | 2012-02-06 |
| 1285932947 | Frank C Alario Md Pl | Family Medicine | 5700 Stirling Rd Ste 100, Hollywood, FL 33021-1522 | 2011-03-04 |
| 1982835559 | Maria Strimbu | Family Medicine | 4030 Sheridan St Ste A, Hollywood, FL 33021-3564 | 2009-07-30 |
| 1396998944 | Wilson Izquierdo | Family Medicine | 2229 Sheridan St, Hollywood, FL 33020-2040 | 2008-10-28 |
| 1083872279 | Alexis Jill Karstaedt | Family Medicine | 9900 Stirling Rd Ste 222, Hollywood, FL 33024-8065 | 2008-05-25 |
| Find all providers in HOLLYWOOD | ||||
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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.