LISA A. GOODMAN (NPI# 1619079522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619079522 |
| Entity Type | Individual |
| Full Name | LISA A. GOODMAN |
| Credential | MD |
| Practice Address |
275 W Macarthur Oakland CA 94611-5641 |
| Practice Telephone | 5107521000 |
| Mailing Telephone | 5107521000 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2014-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
G64092 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G640920 | 05 | |
| CA | BLUE SHIELD | 00G640920 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528403011 | Lisa Michelle Goodman | Speech-Language Pathologist | 111 Belle Meade Ct, Benson, NC 27504-9268 | 2013-05-09 |
| 1154403384 | Lisa Kingsbury Goodman | Chiropractor | 1313 S. Clarkson St., Unit 1, Denver, CO 80210-2284 | 2006-10-19 |
| 1851924435 | Lisa Goodman | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237-8601 | 2020-02-21 |
| 1770121386 | Lisa Ann Goodman | Counselor | 2000 Waterdam Plaza Dr Ste 240, Canonsburg, PA 15317-5411 | 2019-12-13 |
| 1467975631 | Lisa Goodman | Behavioral Analyst | 1071 Valley Rd, Stirling, NJ 07980-1523 | 2017-07-19 |
| 1952712374 | Lisa Ann Goodman | Registered Nurse | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2014-05-20 |
| 1851718589 | Lisa Goodman | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2014-03-19 |
| 1871887208 | Lisa Goodman | Pharmacist | 605 Boston Post Rd E, T-2570, Marlborough, MA 01752-3702 | 2011-06-02 |
| 1417139783 | Lisa D. Goodman | Social Worker | 543 Valley Rd, Suite 9, Montclair, NJ 07043-1881 | 2007-11-28 |
| 1689661548 | Lisa Ellen Goodman | Counselor | 125 Main St, #601, Bradford, PA 16701-2025 | 2005-10-05 |
| Street Address |
275 W MACARTHUR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132580 | David Law | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2005-05-31 |
| 1003247818 | Suzanne P Whitcomb | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-12-03 |
| 1629400445 | Jason Villarin | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-08-02 |
| 1619311560 | Failin Au | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-04-22 |
| 1447592266 | Kimberly Gail Ernest | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-03-19 |
| 1336489657 | Heather L. Tyson | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-02-22 |
| 1083966931 | Gregory Miller Barnell | Nurse Practitioner | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-10-02 |
| 1164773594 | Bonnie L Taylor | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-09-25 |
| 1073861308 | Heidi Evelynne Meck | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-16 |
| 1457607913 | Shilpa V Patel | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023048469 | Ashutosh Lal | Pediatrics | Hematology/oncology, Children's Hospital, 747 52nd St, Oakland, CA 94609-1809 | 2006-07-03 |
| 1942843206 | Julie Deane Saba | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2019-10-18 |
| 1043873557 | Lea Shangraw Fox | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2019-04-19 |
| 1003326323 | Natalie Plotkin | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2017-10-02 |
| 1295051340 | Michael Winstead | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2010-04-14 |
| 1346485026 | Anurag Kishor Agrawal | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2008-12-09 |
| 1225253180 | Bertram Lubin | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-04-16 |
| 1568503712 | Lynne Neumayr | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-02-09 |
| 1528117256 | Jennifer Gibney Michlitsch | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-01-10 |
| 1831246206 | Barbara J Beach | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2007-01-05 |
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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.