GOOD SHEPHERD MEDICAL CLINIC PA (NPI# 1790944858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790944858 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD MEDICAL CLINIC PA |
| Practice Address |
8425 Northcliffe Blvd Suite 110 Spring Hill FL 34606-1107 |
| Mailing Address |
8425 Northcliffe Blvd Suite 110 Spring Hill FL 34606 |
| Practice Telephone | 3526835857 |
| Practice Fax Number | 3526835753 |
| Mailing Telephone | 3526835857 |
| Mailing Fax Number | 3526835753 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. ROGER B LEE (PRESIDENT) |
| Authorized Official Telephone | 3526865023 |
| 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 | 207R00000X | Internal Medicine | ME0071459 | 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 |
| 1699934752 | Good Shepherd Medical Clinic Pa | General Practice | 8425 Northcliffe Blvd, Suite 109, 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 110 |
| 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 |
| 1699934752 | Good Shepherd Medical Clinic Pa | General Practice | 8425 Northcliffe Blvd, Suite 109, 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346691466 | Fnu Ehteshamuddin | Internal Medicine | 4087 Seadragon Blf, Apartment #49-h, Spring Hill, FL 34609-0529 | 2016-06-29 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1750619565 | Rajyalakshmi Kolli | Internal Medicine | 10500 Spring Hill Dr, Spring Hill, FL 34608-5046 | 2009-12-07 |
| 1366674046 | Sisto P. Serafini | Internal Medicine | 8246 River Country Dr., Spring Hill, FL 34607-2101 | 2009-08-14 |
| 1093962946 | Gulf Coast Medical Care Pllc | Internal Medicine | 2178 Mariner Blvd, Spring Hill, FL 34609-3859 | 2008-08-22 |
| 1326207481 | Good Shepherd Medical Clinic Pa | Internal Medicine | 8425 Northcliffe Blvd Ste 107, Spring Hill, FL 34606-1107 | 2008-06-04 |
| 1184832388 | Central Walk In Clinic | Internal Medicine | 11077 Spring Hill Dr, Spring Hill, FL 34608-5000 | 2007-05-19 |
| 1114047446 | Nickolas N Soumelidis | Internal Medicine | 3027 Landover Blvd, Spring Hill, FL 34608-7260 | 2007-03-30 |
| 1679641039 | Gaurav Vijai Malhotra | Internal Medicine | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2006-12-01 |
| 1184799231 | Donald Hoyt Pritchard | Internal Medicine | 5437 Commercial Way, Spring Hill, FL 34606-1110 | 2006-11-22 |
| 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.