DR. WILLIAM E. GOELLNER (NPI# 1578504429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578504429 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM E. GOELLNER |
| Credential | M.D. |
| Practice Address |
910 Old Camp Rd Ste 192 The Villages FL 32162-5605 |
| Mailing Address |
Po Box 616788 Orlando FL 32861-6788 |
| Practice Telephone | 3527515514 |
| Practice Fax Number | 3527531276 |
| Mailing Telephone | 4074477105 |
| Mailing Fax Number | 4077700594 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME30269 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 061502100 | 05 | |
| FL | BLUE SHIELD OF FL | 92811 | 01 |
| Street Address |
910 OLD CAMP RD STE 192 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457306607 | Ralph F. Kensell | Emergency Medicine | 201 Lagrande Blvd, The Villages, FL 32159-1303 | 2006-05-24 |
| 1821048422 | Burton S Jaffe | Emergency Medicine | 2877 Oak Point Ter, Dept 30535, The Villages, FL 32163-2649 | 2006-05-12 |
| 1043283351 | Martin N Schnell | Emergency Medicine | 1950 Laurel Manor Dr Ste 206, The Villages, FL 32162-5608 | 2006-02-08 |
| 1356760722 | Uril Greene Md Pa | Emergency Medicine | 1501 N Us Highway 441, Bldg 1800, The Villages, FL 32159-8999 | 2014-04-14 |
| 1285821843 | Phoenix Emergency Services of Leesburg LLC | Emergency Medicine | 1451 El Camino Real, The Villages, FL 32159-0041 | 2007-09-27 |
| 1588760136 | John H Bellew | Emergency Medicine | 1451 El Camino Real, The Villages Regional Hospital, The Villages, FL 32159-0041 | 2006-09-14 |
| 1508813064 | Bruce Horwitz | Emergency Medicine | 1451 El Camino Real, The Villages, FL 32159-0041 | 2006-05-30 |
| 1932154911 | Ida Browning | Emergency Medicine | 1451 El Camino Real, The Villages, FL 32159-0041 | 2006-05-24 |
| 1295702413 | Itai M Takaendesa-mupanduki | Emergency Medicine | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2006-03-07 |
| 1053385161 | Richard S Stoner | Emergency Medicine | 1451 El Camino Real, Emergency Department, The Villages, FL 32159-0041 | 2006-02-15 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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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.