DR. MICHELLE HAYNES GOODGER (NPI# 1093977993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093977993 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE HAYNES GOODGER |
| Credential | D.O. |
| Practice Address |
9 Brooksite Dr Smithtown NY 11787-3400 |
| Practice Telephone | 6313907800 |
| Practice Fax Number | 6313907821 |
| Mailing Telephone | 6313907800 |
| Mailing Fax Number | 6313907821 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
253860 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
9 BROOKSITE DR |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912964990 | Mona G Rechner | Nurse Practitioner | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2006-04-26 |
| 1912394594 | Allison Murray | Family Medicine | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2015-04-21 |
| 1578820031 | John M Reyes | Family Medicine | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2012-04-20 |
| 1720249618 | Phillip Ruisi | Internal Medicine | 9 Brooksite Dr, 9 Brooksite Drive,smithtown,ny,11787-3400, Smithtown, NY 11787-3400 | 2008-06-23 |
| 1679692289 | Regina Ongioni Fletcher | Social Worker | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2007-03-28 |
| 1811038268 | Susan C Stoddard | Registered Nurse | 9 Brooksite Dr, Smithtown, NY 11787 | 2007-02-09 |
| 1184700478 | Sharmilee Vishwajit Shetty | Family Medicine | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2006-10-28 |
| 1134133671 | Kevin Dolley | Legal Medicine | 9 Brooksite Dr, Suite 1, Smithtown, NY 11787-3400 | 2006-07-28 |
| 1932134624 | John L Franco | Family Medicine | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2006-07-11 |
| 1811922529 | Kristen A Obrien | Family Medicine | 9 Brooksite Dr, Suite 1, Smithtown, NY 11787-3400 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1992249346 | A.p. New York Comprehensive Medical Care PC | Internal Medicine | 732 Smithtown Byp, Suite 200, Smithtown, NY 11787-5020 | 2016-12-05 |
| 1245586528 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 | 2012-07-24 |
| 1720249618 | Phillip Ruisi | Internal Medicine | 9 Brooksite Dr, 9 Brooksite Drive,smithtown,ny,11787-3400, Smithtown, NY 11787-3400 | 2008-06-23 |
| 1366456113 | Jyoti Prakash Ganguly | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1407860471 | Island Cardiovascular Associates of Ny PC | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1558375329 | Brian Stewart Geller | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1841204526 | Cornell Michael Cohen | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1215941091 | Michael Edward Rosenband | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1073527859 | Abhay Malhotra | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-28 |
| 1750312948 | Shamim Ahmed Khan | Internal Medicine | 496 Smithtown Byp, Suite 101, Smithtown, NY 11787-5005 | 2006-07-05 |
| Find all providers in SMITHTOWN | ||||
Please comment or provide details below to improve the information on DR. MICHELLE HAYNES GOODGER.
| 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.