STEVEN GOODFRIEND


Address: 3625 University Blvd S, Emergency Department, Jacksonville, FL 32216-4207
Phone: 9043463606

STEVEN GOODFRIEND (NPI# 1861470353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861470353
Entity Type Individual
Full Name STEVEN GOODFRIEND
Credential MD
Practice Address 3625 University Blvd S
Emergency Department
Jacksonville
FL 32216-4207
Mailing Address Po Box 860554
Orlando
FL 32886-0554
Practice Telephone 9043463606
Practice Fax Number 9043460113
Mailing Telephone 9043463606
Mailing Fax Number 9043460113
Enumeration Date 2006-01-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
ME0084608 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 13740 01

Office Location

Street Address 3625 UNIVERSITY BLVD S
EMERGENCY DEPARTMENT
City JACKSONVILLE
State FL
Zip Code 32216-4207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588664395 Karen Elizabeth Anderson Anesthesiology 3625 University Blvd S, Jacksonville, FL 32216-4207 2005-07-22
1174122071 Deleah Rene Pickler Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-10-21
1801401641 Kara N Cordova Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2020-09-09
1174153654 Marina Follick Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-01-23
1649818337 Sarah Chapman Farris Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-13
1487291837 Lee Willingham Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-04
1609411586 Kyle Steven Scott Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-11-14
1982246328 Amy Marie Suralis Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-10-16
1396391991 Sarah Siebrandt Occupational Therapist 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-08-11
1790347979 Leda Hansen Nurse Practitioner 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295744639 Mark A Smith Md,p.a. Emergency Medicine 10095 Beach Blvd Ste 300, Jacksonville, FL 32246-4775 2006-08-05
1356329056 Anthony Edward Hamaty Emergency Medicine 14444 Beach Blvd, Suite 305b, Jacksonville, FL 32250-2079 2006-01-04
1184920928 Christian Glardon Emergency Medicine 4311 Salisbury Rd, Jacksonville, FL 32216-6123 2011-01-26
1497080220 Boss Urgent Care, Pllc Emergency Medicine 325 Western Blvd, Jacksonville, NC 28546-6341 2009-10-13
1912132010 Ian Russell Rowe Emergency Medicine 655 W. Eighth St., Clinical Center, 1st Floor, Jacksonville, FL 32209 2009-05-19
1265693279 University of Florida Jacksonville Physicians Inc Emergency Medicine 655 W 8th St, Ufjp Emergency Medicine, Jacksonville, FL 32209-6511 2008-06-23
1831147354 Jeffrey H Sapolsky Emergency Medicine 1 Shircliff Way, Jacksonville, FL 32204-4748 2006-05-05
1144278011 Bradley Berger Emergency Medicine 1 Shircliff Way, Jacksonville, FL 32204-4748 2006-05-04
1003874363 Max T Billingsley Emergency Medicine 1 Shircliff Way, Emergency Department, Jacksonville, FL 32204-4748 2006-05-03
1013975507 W Lynn Augenstein Emergency Medicine 1 Shircliff Way, Jacksonville, FL 32204-4748 2006-05-03
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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