DR. GARY A GOODMAN (NPI# 1740232172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740232172 |
| Entity Type | Individual |
| Full Name | DR. GARY A GOODMAN |
| Credential | MD |
| Practice Address |
1401 W Seminole Blvd Central Florida Regional Hospital, Dept of Emerg. Med. Sanford FL 32771-6743 |
| Practice Telephone | 4073214500 |
| Mailing Telephone | 4073214500 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 231673 | NY | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | ME95652 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477574978 | Gary Sean Goodman | Pharmacist | 6000 Quiet Glow Ave, Las Vegas, NV 89139-6422 | 2006-07-21 |
| 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 |
| 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 |
1401 W SEMINOLE BLVD CENTRAL FLORIDA REGIONAL HOSPITAL, DEPT OF EMERG. MED. |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-6743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290341 | David J. Hak | Orthopaedic Surgery | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2005-10-26 |
| 1336685700 | Deanna Charisse Spears | Registered Nurse | 1401 W Seminole Blvd, Diabetes Care Center, Sanford, FL 32771-6743 | 2017-01-10 |
| 1912452046 | Radharani Woods Vizcaino | Physician Assistant | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2016-08-18 |
| 1861946113 | Nicole Safiano | Physician Assistant | 1401 W Seminole Blvd, Trauma Surgery, Sanford, FL 32771-6743 | 2016-08-03 |
| 1639528623 | Fl-i Medical Services LLC | Physician Assistant | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2016-06-09 |
| 1174996094 | Bridgewater Emergency Physicians, LLC | Physician Assistant | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2015-11-02 |
| 1891168704 | Whispering Wind Emergency Physicians, LLC | Physician Assistant | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2015-11-02 |
| 1720450380 | Leanne Marie Castillo | Nurse Practitioner | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2015-10-22 |
| 1487052528 | Australian Prowfish Surgical Specialists LLC | Surgery | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2014-12-05 |
| 1740699750 | Boundary Peak Emergency Physicians LLC | Emergency Medicine | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| 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 |
|---|---|---|---|---|
| 1215323894 | Sarmed Al-haddad | Emergency Medicine | 4525 International Pkwy, Sanford, FL 32771-9624 | 2015-04-10 |
| 1730207606 | Daniel C. Lavene | Emergency Medicine | 1401 West Seminole Blvd., Sanford, FL 32771 | 2007-03-27 |
| 1275553091 | Peter Joseph Buckley Sr. | Emergency Medicine | 120 Trail Rider Ln, Sanford, NC 27332-2524 | 2006-07-21 |
| 1215989660 | Franklin Hargett | Emergency Medicine | 3072 S Horner Blvd, Sanford, NC 27332-9644 | 2006-05-16 |
| 1902291602 | Jeja Bushra Syeda | Emergency Medicine | 1135 Carthage St, Sanford, NC 27330-4162 | 2015-03-31 |
| 1740699750 | Boundary Peak Emergency Physicians LLC | Emergency Medicine | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2014-08-05 |
| 1497012686 | Akef S. Rahman | Emergency Medicine | 1135 Carthage St, Central Carolina Hospital, Sanford, NC 27330-4162 | 2012-04-12 |
| 1679849889 | Lake Monroe Emergency Physicians LLC | Emergency Medicine | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2012-04-02 |
| 1811289168 | Jessica Louise Peck | Emergency Medicine | 25 June St, Sanford, ME 04073-2621 | 2011-05-04 |
| 1548422819 | Scott Hamilton | Emergency Medicine | 25 June St, Sanford, ME 04073-2621 | 2008-06-27 |
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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.