GOOD SHEPHERD MEDICAL CLINIC PA (NPI# 1699934752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699934752 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD MEDICAL CLINIC PA |
| Practice Address |
8425 Northcliffe Blvd Suite 109 Spring Hill FL 34606-1107 |
| Practice Telephone | 3526831017 |
| Practice Fax Number | 3526832732 |
| Mailing Telephone | 3526831017 |
| Mailing Fax Number | 3526832732 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. ROGER B LEE (PRESIDENT) |
| Authorized Official Telephone | 3526661011 |
| 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 | 208D00000X | General Practice | ME44664 | 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 |
| 1790944858 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 110, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1518126671 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 102, 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 109 |
| 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 |
| 1790944858 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 110, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1518126671 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd, Suite 102, 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699274035 | Anali J Rincon | General Practice | 10441 Quality Dr Ste 100, Spring Hill, FL 34609-9649 | 2018-02-11 |
| 1619429495 | Caruso-doerr Inc. | General Practice | 5327 Commercial Way Ste B108, Spring Hill, FL 34606-1499 | 2016-10-27 |
| 1902208630 | Afc Physicians of Tennessee, PC | General Practice | 2070 Wall Street, Spring Hill, TN 37174-0000 | 2014-09-25 |
| 1427291517 | Mari Trini Castello | General Practice | 3588 Swordfish Ln, Spring Hill, FL 34609-3636 | 2009-04-20 |
| 1003003302 | Maria J. Prieto, M.d. P.a. | General Practice | 4327 Hedgewood Ave, Spring Hill, FL 34608-3307 | 2007-10-01 |
| 1730124165 | David John Deam | General Practice | 5423 Commercial Way, Spring Hill, FL 34606-1110 | 2006-06-19 |
| 1437111440 | David Mark Mcgrew | General Practice | 4644 Keysville Ave, Spring Hill, FL 34608-3515 | 2006-04-05 |
| 1568424836 | Howard M Glicksman | General Practice | 7154 Medical Center Drive, Spring Hill, FL 34608-1329 | 2006-04-04 |
| 1184260283 | Michael Rudelli | General Practice | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2019-11-23 |
| 1740849132 | Revive Medical & Rehab | General Practice | 7125 Mariner Blvd, Spring Hill, FL 34609-1048 | 2019-06-10 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34606 |
Please comment or provide details below to improve the information on GOOD SHEPHERD MEDICAL CLINIC PA.
| 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.