DR. SHAWN EDWARD GOUGH-FIBKINS (NPI# 1346220035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346220035 |
| Entity Type | Individual |
| Full Name | DR. SHAWN EDWARD GOUGH-FIBKINS |
| Credential | MD |
| Practice Address |
9824 Sw 133rd Ct Miami FL 33186-2203 |
| Practice Telephone | 3053824378 |
| Mailing Telephone | 3053824378 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME 90529 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2792796 | 05 |
| Street Address |
9824 SW 133RD CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760837991 | Bay Area Radiology, PC | Radiology | 4071 Battersea Rd, Miami, FL 33133-6601 | 2016-04-25 |
| 1144682626 | Bradley Fox | Radiology | 1475 Nw 12th Ave Bldg Room600d, Miami, FL 33136-1002 | 2016-03-24 |
| 1376953166 | Elena G. Violari | Radiology | Baptist Health of South Florida, 8900 North Kendall Drive, Miami, FL 33176 | 2014-05-01 |
| 1326469263 | Benjamin Boyle | Radiology | 9612 Sw 148th Ave, Miami, FL 33196 | 2013-12-19 |
| 1679837892 | Florida United Radiology, Lc | Radiology | 2065 Ne 204th St, Miami, FL 33179-2218 | 2012-07-03 |
| 1659630085 | Neal K Viradia | Radiology | 1201 Nw 16th St Dept Of, Miami, FL 33125-1624 | 2012-05-04 |
| 1982977377 | Cbc Imaging Center LLC | Radiology | 18140 Sw 97th Ave, Miami, FL 33157-5501 | 2012-02-15 |
| 1710258504 | Mp Diagnostic Ltd | Radiology | 6401 Sw 87 Avenue, Suite 121, Miami, FL 33173-2520 | 2012-01-25 |
| 1619256658 | Radreads Pllc | Radiology | 115 Sw 36th Court, Miami, FL 33135-1016 | 2011-08-09 |
| 1851607832 | Amauri Valdes Md Pa | Radiology | 3990 W Flagler, Suite 204, Miami, FL 33134 | 2010-08-27 |
| Find all providers in MIAMI | ||||
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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.