GOOD SHEPHERD MEDICAL CLINIC PA (NPI# 1518126671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518126671 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD MEDICAL CLINIC PA |
| Practice Address |
8425 Northcliffe Blvd Suite 102 Spring Hill FL 34606-1107 |
| Practice Telephone | 3526831921 |
| Practice Fax Number | 3526834013 |
| Mailing Telephone | 3526831921 |
| Mailing Fax Number | 3526834013 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. ROGER B LEE (PRESIDENT) |
| Authorized Official Telephone | 3526865023 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SHEPHERD MEDICAL CLINIC PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME46895 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326207481 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd Ste 107, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1316180409 | Good Shepherd Medical Clinic Pa | Internal Medicine | 11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414 | 2009-04-20 |
| 1336301829 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 112, Spring Hill, FL 34606-1107 | 2008-06-26 |
| 1417116575 | Good Shepherd Medical Clinic Pa | Family Medicine | 11329 Cortez Blvd, Brooksville, FL 34613 | 2008-06-04 |
| 1154580215 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 108, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1699934752 | Good Shepherd Medical Clinic Pa | General Practice | 8425 Northcliffe Blvd, Suite 109, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1790944858 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 110, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1245499300 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 104, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1972762037 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 105, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1881853943 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 104, Spring Hill, FL 34606-1107 | 2008-06-04 |
| Street Address |
8425 NORTHCLIFFE BLVD SUITE 102 |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34606-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902891864 | Youssef Salim Anid | Internal Medicine | 8425 Northcliffe Blvd, Ste 106, Spring Hill, FL 34606-1107 | 2005-09-16 |
| 1528373644 | Brooksville Hma Physician Management LLC | Family Medicine | 8425 Northcliffe Blvd, Suite 101, Spring Hill, FL 34606-1107 | 2010-08-12 |
| 1336301829 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 112, Spring Hill, FL 34606-1107 | 2008-06-26 |
| 1154580215 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 108, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1699934752 | Good Shepherd Medical Clinic Pa | General Practice | 8425 Northcliffe Blvd, Suite 109, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1790944858 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 110, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1245499300 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 104, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1972762037 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 105, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1881853943 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 104, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1508025669 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 110, Spring Hill, FL 34606-1107 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196877 | Ruth A Bertone | Developmental Therapist | 6835 Eastbrook Drive, Spring Hill, FL 34606 | 2020-05-21 |
| 1023508405 | Ambassador Health Services, Inc. | In Home Supportive Care | 4048 Deltona Blvd, Spring Hill, FL 34606 | 2018-05-11 |
| 1295233393 | Back To Health Chiropractic LLC | Chiropractor | 3479 Deltona Blvd, Spring Hill, FL 34606 | 2018-01-24 |
| 1831614080 | Florida Medical Pain Management | Anesthesiology | 5270 Applegate Drive, Spring Hill, FL 34606 | 2017-08-09 |
| 1639543200 | Green Leaf and Company, LLC | Point of Service | 7364 Lagood Rd, Spring Hill, FL 34606 | 2015-11-19 |
| 1578993200 | Deltona Home of Tlc Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1287 Deltona Blvd, Spring Hill, FL 34606 | 2013-11-15 |
| 1407289291 | Leslie Kaye Griffen | Nurse Practitioner | 8391 Omaha Circle, Spring Hill, FL 34606 | 2013-08-15 |
| 1508200213 | Nic 5 Forest Oaks Leasing LLC | Assisted Living Facility | 8055 Forest Oaks Blvd., Spring Hill, FL 34606 | 2013-04-24 |
| 1316278807 | Carmen Serrano | Massage Therapist | 8329 Nevada St, Springhill, FL 34606 | 2010-01-22 |
| 1427299700 | Jeanine Smith Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7338 Spring Hill Dr, Spring Hill, FL 34606 | 2009-03-16 |
| Find all providers in zip 34606 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285789511 | Gericares LLC | Internal Medicine | 5344 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2007-01-25 |
| 1336154053 | Hernando Family Practice Center Inc | Internal Medicine | 10499 Spring Hill Dr, Spring Hill, FL 34608-5045 | 2006-07-30 |
| 1407830292 | Khawaja Kifayatullah | Internal Medicine | 8355 Northcliffe Blvd, Spring Hill, FL 34606-1139 | 2005-12-05 |
| 1750736948 | Saint Thomas Care Plus LLC | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2016-04-26 |
| 1558749820 | Verimed Health Group Mariner, LLC | Internal Medicine | 7064 Mariner Blvd, Spring Hill, FL 34609-1000 | 2015-05-07 |
| 1205065059 | Saint Thomas Clinic Pllc | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2009-07-14 |
| 1518121334 | Hany Helmy Abskhroun | Internal Medicine | 7056 Mariner Blvd, Spring Hill, FL 34609-1000 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRING HILL |
| Zip Code | 34606 |
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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.