SCOTT DOUGLAS GOBLE (NPI# 1154384584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154384584 |
| Entity Type | Individual |
| Full Name | SCOTT DOUGLAS GOBLE |
| Credential | M.D. |
| Practice Address |
2215 E Villa Maria Rd #130 Bryan TX 77802-2548 |
| Practice Telephone | 9797740808 |
| Practice Fax Number | 9797763028 |
| Mailing Telephone | 9797740808 |
| Mailing Fax Number | 9797763028 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
K1450 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 042666001 | 05 |
| Street Address |
2215 E VILLA MARIA RD #130 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435774 | Brazos Radiation Oncology, P.a. | Radiology | 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802-2548 | 2006-02-08 |
| 1013323278 | Julie Nugent | Nurse Practitioner | 2215 E Villa Maria Rd, Suite 110, Bryan, TX 77802-2584 | 2014-07-09 |
| 1295775005 | Erin E Fleener | Internal Medicine | 2215 E Villa Maria Rd, Suite 110, Bryan, TX 77802-2548 | 2006-06-08 |
| 1063467298 | Terry R Jenkins | Internal Medicine | 2215 E Villa Maria Rd, #110, Bryan, TX 77802-2548 | 2006-05-24 |
| 1811949407 | Kumud S Tripathy | Internal Medicine | 2215 E Villa Maria Rd, #110, Bryan, TX 77802-2548 | 2006-05-16 |
| 1376594432 | Kumud S Tripathy and Associates | Internal Medicine | 2215 E Villa Maria Rd, 110, Bryan, TX 77802-2548 | 2006-05-13 |
| 1366415416 | Alvin Lee Schlichtemeier | Radiology | 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802-2548 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1568435774 | Brazos Radiation Oncology, P.a. | Radiology | 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802-2548 | 2006-02-08 |
| 1689670580 | Wainwright Anthony Jaggernauth | Radiology | 524 W High St, Bryan, OH 43506-1618 | 2005-06-24 |
| 1922036649 | Michael Pak | Radiology | 524 W High St, Bryan, OH 43506-1618 | 2006-06-29 |
| 1366415416 | Alvin Lee Schlichtemeier | Radiology | 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802-2548 | 2006-02-09 |
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|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1073915245 | Texas Radiation Oncology Medical Group, Pllc | Radiology | 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 | 2014-09-19 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
| 1629332770 | Twisha Chakravarty Verma | Radiology | 18100 Saint John Dr Ste 150, Houston, TX 77058-4600 | 2012-07-03 |
| 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.