KIM ETHEL GOODSELL (NPI# 1720226533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720226533 |
| Entity Type | Individual |
| Full Name | KIM ETHEL GOODSELL |
| Credential | M.D. |
| Practice Address |
2516 E Whitmore Ave Ceres CA 95307-2645 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095381733 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2011-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A77554 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2516 E WHITMORE AVE |
| City | CERES |
| State | CA |
| Zip Code | 95307-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134102452 | Pat May Pamanian Limpiado | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2005-11-21 |
| 1891119020 | Gurpreet Kaur Bhullar | Physician Assistant | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2014-02-07 |
| 1992960843 | Isaac P. Gaddam | General Practice | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2008-07-21 |
| 1780631820 | Sutter Gould Medical Foundation | Pediatrics | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2006-05-27 |
| 1821048240 | Lynette R Grandison | Pediatrics | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2006-05-10 |
| 1366491292 | Elvis M Fedalizo | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| Find all providers in zip 95307 | ||||
| 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 |
|---|---|---|---|---|
| 1962454652 | Daniel Tri Diep | Family Medicine | 2760 3rd St, Ceres, CA 95307-3235 | 2006-05-17 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1134102452 | Pat May Pamanian Limpiado | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2005-11-21 |
| 1427586825 | Gustavo Javier Gutierrez Colin | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2017-05-30 |
| 1275829756 | Anika Godhwani | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2011-06-23 |
| 1356536973 | Kerry Bruce Evnin | Family Medicine | 3641 Mitchell Rd, Ste H, Ceres, CA 95307 | 2007-09-06 |
| 1457565590 | Golden Valley Health Centers | Family Medicine | 2760 3rd St, Ceres, CA 95307-3220 | 2007-05-09 |
| 1437169224 | John English | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2006-08-08 |
| 1811937832 | Richard Robert Rutherford | Family Medicine | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2006-06-07 |
| 1366491292 | Elvis M Fedalizo | Family Medicine | 2516 E Whitmore Ave, Ceres, CA 95307-2645 | 2006-05-08 |
| Find all providers in CERES | ||||
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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.