DR. GARY SEAN GOODMAN (NPI# 1477574978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477574978 |
| Entity Type | Individual |
| Full Name | DR. GARY SEAN GOODMAN |
| Credential | PHARMD |
| Practice Address |
6000 Quiet Glow Ave Las Vegas NV 89139-6422 |
| Practice Telephone | 7022638319 |
| Mailing Telephone | 7022638319 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
16949 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982669024 | Gary R Goodman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22250 Providence Dr Ste 606, Southfield, MI 48075-6214 | 2006-04-20 |
| 1629353735 | Gary Goodman | Case Manager/Care Coordinator | 64 Industrial Park Rd, Plymouth, MA 02360-4881 | 2011-10-20 |
| 1992988869 | Gary H Goodman | Dentist | 3455 Main St, Springfield, MA 01107-1147 | 2007-12-13 |
| 1255402251 | Gary E. Goodman | Internal Medicine | 1221 Madison St, Seattle, WA 98104-3588 | 2006-11-13 |
| 1588758551 | Gary Goodman | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-03 |
| 1740232172 | Gary A Goodman | Emergency Medicine | 1401 W Seminole Blvd, Central Florida Regional Hospital, Dept of Emerg. Med., Sanford, FL 32771-6743 | 2006-05-16 |
| 1972581841 | Gary R Goodman | Urology | 3520 E 15th St, Suite 200, Loveland, CO 80538-8938 | 2006-01-02 |
| 1316930381 | Gary Neal Goodman | Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2005-08-25 |
| 1598758617 | Gary Richard Goodman | Podiatrist | 2350 Sunset Point Rd, Suite A, Clearwater, FL 33765-1443 | 2005-08-24 |
| 1811999485 | Gary M Goodman | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2005-08-12 |
| Street Address |
6000 QUIET GLOW AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
| 1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326516154 | Jonathan Edward Bradbury | Pharmacist | 10448 Raining Sky St, Las Vegas, NV 89178-3540 | 2018-11-09 |
| 1477969152 | Ashley Slocum | Pharmacist | 7354 Stonecott St, Las Vegas, NV 89123-1186 | 2014-07-02 |
| 1528203254 | Joel H Raiman | Pharmacist | 2901 Bernardo Ln, Las Vegas, NV 89102-4054 | 2008-12-09 |
| 1427208818 | Noor Dudekula | Pharmacist | 7151 W Craig, Las Vegas, NV 89129 | 2008-09-23 |
| 1063535136 | Carl David Tunison Jr. | Pharmacist | 8924 Silk Bonnet Ct, Las Vegas, NV 89143-5412 | 2007-04-06 |
| 1265484844 | Margaret Mary Gordon | Pharmacist | 6654 Universal Ave, Las Vegas, NV 89142-3703 | 2006-05-16 |
| 1942252234 | Gregory John Blackburn | Pharmacist | 2100 Preakness Pass, Las Vegas, NV 89117-5946 | 2006-05-16 |
| 1588646897 | Harvey Brian Riceberg | Pharmacist | 4415 Emerald Ave, Las Vegas, NV 89120-2134 | 2005-11-14 |
| 1528069564 | Emerald B Foster | Pharmacist | 4877 Maiden Court, Las Vegas, NV 89130 | 2005-08-01 |
| 1811530637 | Dominik Bialek | Pharmacist | 8930 W Sunset Rd Ste 100, Las Vegas, NV 89148-5009 | 2019-10-24 |
| Find all providers in LAS VEGAS | ||||
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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.