DR. ARCHANA GUPTA GOEL (NPI# 1215998513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215998513 |
| Entity Type | Individual |
| Full Name | DR. ARCHANA GUPTA GOEL |
| Credential | M.D. |
| Practice Address |
1660 Prudential Dr Suite 310 Jacksonville FL 32207-8197 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9043968656 |
| Practice Fax Number | 9043965931 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME73785 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME73785 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000771493A | 05 | |
| FL | 2533359-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063529832 | Archana Goel | Internal Medicine | 901 Center Street, Suite 300, Elgin, IL 60120 | 2006-08-25 |
| 1679684690 | Archana Goel | Internal Medicine | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-08-31 |
| Street Address |
1660 PRUDENTIAL DR SUITE 310 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132586 | Gary Thomas Gabor | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2005-11-22 |
| 1497190524 | Layla Brock Mcdaniel | Physician Assistant | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2013-05-02 |
| 1629386388 | Samuel Kim | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2010-09-15 |
| 1649595216 | Adam Walker Bagley | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2010-04-07 |
| 1144424722 | Swati M Shah | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
| 1619245495 | Steven D. Mathews, M.d., P.a. | Internal Medicine | 6863 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2011-12-07 |
| 1386891604 | Aneesa Krishnamurthy | Internal Medicine | 3 Shircliff Way Ste 333, Jacksonville, FL 32204 | 2008-08-19 |
| 1639351927 | Baptist Primary Care Inc | Internal Medicine | 1660 Prudential Dr Ste 310, Jacksonville, FL 32207-8185 | 2007-11-29 |
| 1437362266 | Augusto Mayor Quilon IIi | Internal Medicine | 14810 Old Saint Augustine Rd Ste 101, Jacksonville, FL 32258-2558 | 2007-05-08 |
| 1043341795 | Annabelle K Lee | Internal Medicine | 13241 Bartram Blvd., Suite 2105, Jacksonville, FL 32258-2451 | 2007-03-07 |
| 1104987122 | Steven Dell Mathews | Internal Medicine | 6863 Belfort Oaks Place, Jacksonville, FL 32216 | 2006-12-13 |
| 1194894436 | Pamela R Neish | Internal Medicine | 1672 Dover Hill Dr, Jacksonville, FL 32225-4936 | 2006-11-08 |
| 1609962679 | Kathryn Michele Lawson | Internal Medicine | 13241 Bartram Park Blvd Unit 2105, Jacksonville, FL 32258-5224 | 2006-10-05 |
| 1437132586 | Gary Thomas Gabor | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2005-11-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.