THERESE GOODE (NPI# 1366502288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366502288 |
| Entity Type | Individual |
| Full Name | THERESE GOODE |
| Credential | PA-C |
| Practice Address |
8340 Lakewood Ranch Blvd Suite 240 Lakewood Ranch FL 34202-5180 |
| Practice Telephone | 9419073008 |
| Practice Fax Number | 9419073036 |
| Mailing Telephone | 9419073008 |
| Mailing Fax Number | 9419073036 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9103326 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003543800 | 05 |
| Street Address |
8340 LAKEWOOD RANCH BLVD SUITE 240 |
| City | LAKEWOOD RANCH |
| State | FL |
| Zip Code | 34202-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363969 | Heather Amanda Dunn | Nurse Practitioner | 8340 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202 | 2017-01-31 |
| 1689000564 | Jennifer M Toscano | Nurse Practitioner | 8340 Lakewood Ranch Blvd, Suite 210, Lakewood Ranch, FL 34202-5180 | 2013-09-23 |
| 1811258981 | Lakewood Ranch Obstetrics and Gynecology Pl | Obstetrics & Gynecology | 8340 Lakewood Ranch Blvd, Suite 101, Lakewood Ranch, FL 34202-5180 | 2012-06-05 |
| 1841584414 | Manatee County Rural Health Services, Inc. | Orthopaedic Surgery | 8340 Lakewood Ranch Blvd, Suite 300, Lakewood Ranch, FL 34202-5180 | 2011-06-01 |
| 1215227277 | Florida Woman Care, LLC | Obstetrics & Gynecology | 8340 Lakewood Ranch Blvd, Suite 240, Lakewood Ranch, FL 34202-5180 | 2011-04-12 |
| 1700181005 | Manatee Physician Alliance LLC | Internal Medicine | 8340 Lakewood Ranch Blvd, Suite 140, Lakewood Ranch, FL 34202-5180 | 2011-01-18 |
| 1770818411 | Joann Zander | Occupational Therapist | 8340 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202-5180 | 2009-10-14 |
| 1568609444 | Coastal Orthopedics & Sports Medicine of Southwest Fl, Pa | Specialist | 8340 Lakewood Ranch Blvd, Suite 340, Lakewood Ranch, FL 34202-5180 | 2009-01-14 |
| 1093975062 | Lakewood Ranch Medical Group LLC | Family Medicine | 8340 Lakewood Ranch Blvd, Suite 140, Lakewood Ranch, FL 34202-5180 | 2008-06-13 |
| 1669632063 | Maria Delazzer Scafario | Physical Therapist | 8340 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202-5180 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134177157 | Julie N Finn | Physician Assistant | 5860 Ranch Lake Blvd Ste 200, Lakewood Ranch, FL 34202-3719 | 2006-05-04 |
| 1518953595 | Meredith M. Miller | Physician Assistant | 8926 77th Ter E, Unit101, Lakewood Ranch, FL 34202-6417 | 2005-09-23 |
| 1124668967 | Melissa Nicole Aguilera | Physician Assistant | 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202-5174 | 2020-01-09 |
| 1932604790 | Cliff Z Jia | Physician Assistant | 10920 Technology Ter, Lakewood Ranch, FL 34211-4930 | 2018-03-26 |
| 1902268998 | Tracy Osborne | Physician Assistant | 11505 Palmbrush Trl Ste 200, Lakewood Ranch, FL 34202 | 2016-03-28 |
| 1528356326 | Laura Elizabeth Marano | Physician Assistant | 8926 77th Ter E, Unit 101, Lakewood Ranch, FL 34202-6417 | 2011-07-13 |
| 1255629242 | Shannon Pohl | Physician Assistant | 10920 Technology Ter, Lakewood Ranch, FL 34211-4930 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKEWOOD RANCH |
| Zip Code | 34202 |
Please comment or provide details below to improve the information on THERESE GOODE.
| 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.