DR. JEFFREY ALAN GOODMAN (NPI# 1871698613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871698613 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN GOODMAN |
| Credential | MD |
| Practice Address |
1879 Nightingale Ln Ste C2 Tavares FL 32778-4363 |
| Practice Telephone | 3527427776 |
| Practice Fax Number | 3527427750 |
| Mailing Telephone | 3527457776 |
| Mailing Fax Number | 3527427750 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME66294 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 375405700 | 05 | |
| FL | BLUE CROSS | 25425 | 01 |
| FL | MEDICARE RAILROAD | 10008741 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699025924 | Jeffrey Curtis Goodman | Family Medicine | 5454 Kahiliholo Road, Kilauea, HI 96754 | 2012-09-13 |
| 1740356419 | Jeffrey M. Goodman | Marriage & Family Therapist | 3002 Armstrong Street, San Diego, CA 92111 | 2006-11-27 |
| 1619042587 | Jeffrey Alexander Goodman | Dentist | 661 Shunpike Rd, Suite #1, Green Village, NJ 07935-3022 | 2006-11-23 |
| 1316977416 | Jeffrey W Goodman | Internal Medicine | 83 Hanover Rd, Suite 290, Florham Park, NJ 07932-1508 | 2006-07-04 |
| 1780154104 | Jeffrey N Goodman | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2018-11-28 |
| 1992959977 | Jeffrey Goodman | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2008-11-04 |
| 1033370259 | Jeffrey Mark Goodman | Dentist | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2008-06-19 |
| 1528091402 | Jeffrey Samuel Goodman | Psychologist | 355 Crawford St, Suite 804, Portsmouth, VA 23704-2816 | 2006-07-07 |
| 1962458141 | Jeffrey Alan Goodman | Internal Medicine | 700 Old Country Rd, Plainview, NY 11803-4932 | 2006-05-26 |
| 1861447534 | Jeffrey Goodman | Internal Medicine | 10111 W Forest Hill Blvd, #221, Wellington, FL 33414-6108 | 2006-05-23 |
| Street Address |
1879 NIGHTINGALE LN STE C2 |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1992841662 | Ronald Roth Md Pa | Internal Medicine | 1824 Salk Ave, Tavares, FL 32778-4300 | 2007-01-30 |
| 1952390288 | Soundarapandian Baskar | Internal Medicine | 1703 Mayo Dr, Tavares, FL 32778-4307 | 2005-10-19 |
| 1972801827 | Lake Gastroenterology Associates LLC | Internal Medicine | 1703 Mayo Dr, Tavares, FL 32778-4307 | 2011-03-02 |
| 1013105253 | Ronald Roth | Internal Medicine | 1824 Salk Ave, Tavares, FL 32778-4300 | 2007-10-12 |
| 1225168701 | Keller & Goodman Md, Pa | Internal Medicine | 1879 Nightingale Ln, Suite C-2, Tavares, FL 32778-4363 | 2007-03-06 |
| 1972680106 | Christina Ruth Covelli | Internal Medicine | 3345 Waterman Way, Tavares, FL 32778-5220 | 2006-11-01 |
| 1164411484 | Bharathi Ramaiah | Internal Medicine | 1703 Mayo Dr, Tavares, FL 32778-4307 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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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.