MR. STEPHEN RANDALL GOODMAN (NPI# 1750518007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750518007 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN RANDALL GOODMAN |
| Credential | MASSAGE THERAPIST |
| Practice Address |
328 Tamiami Trl S Ste A Venice FL 34285-2434 |
| Mailing Address |
20277 Pezzana Dr Venice FL 34292-4661 |
| Practice Telephone | 9414855797 |
| Mailing Telephone | 9414418375 |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2009-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA55323 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | MA55323 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497159925 | Stephen Robert Goodman | Social Worker | 101 Ponderosa St, La Puente, CA 91744-6218 | 2014-10-13 |
| 1578646386 | Stephen G Goodman | Dentist | 519 Washington St, Hoboken, NJ 07030 | 2006-10-23 |
| 1154448520 | Stephen Goodman | Internal Medicine | 1050 Wisconsin St, Potrero Hill Health Ctr., San Francisco, CA 94107-3328 | 2007-03-23 |
| 1487738118 | Stephen Goodman | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-25 |
| 1962420968 | Stephen J Goodman | Radiology | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4400 | 2006-07-17 |
| 1154325744 | Stephen Goodman | Internal Medicine | 500 New Hempstead Rd, New City, NY 10956-1132 | 2005-06-10 |
| Street Address |
328 TAMIAMI TRL S STE A |
| City | VENICE |
| State | FL |
| Zip Code | 34285-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689810012 | Demasi Digestive Health Pa | Specialist | 1370 E. Venice Ave., Suite 210, Venice, FL 34285-9084 | 2009-01-07 |
| 1851560478 | Metrolina Infectious Diseases, P.a. | Specialist | 517 Riviera St Ste D, Venice, FL 34285-2827 | 2008-02-28 |
| 1285829788 | Sandra Jean Johnson-hill | Specialist | 286 Mount Vernon Dr, Venice, FL 34293-4017 | 2007-09-08 |
| 1154538825 | Vicente A Castillo, Jr. | Specialist | 208 Greywing Ct, Venice, FL 34292-2482 | 2007-05-16 |
| 1255489308 | Gulf Coast Pediatrics of Sarasota, Pa-c | Specialist | 405 Commercial Ct Ste D, Venice, FL 34292-1653 | 2007-01-08 |
| 1477613602 | Gulf Coast Digestive Health Center Pl | Specialist | 825 Venetian Parkway, Venice, FL 34285 | 2006-12-11 |
| 1700982352 | Joseph E Chebli Md Facs Inc Ps | Specialist | 1370 E Venice Ave Ste 208, Venice, FL 34285-9084 | 2006-09-14 |
| 1336161454 | Ear Nose Throat & Sinus Center Pa | Specialist | 213 Palermo Pl, Venice, FL 34285-2821 | 2006-07-25 |
| 1104867803 | Hornbuckle, Inc. | Specialist | 1009 Abbot Kinney Blvd, 2nd Floor, Venice, CA 90291-3372 | 2006-06-10 |
| 1225096761 | Robert D. Kramer | Specialist | 315 Nokomis Ave S, Venice, FL 34285-2417 | 2006-05-03 |
| Find all providers in VENICE | ||||
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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.