DR. BOONE W GOODGAME (NPI# 1649487570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649487570 |
| Entity Type | Individual |
| Full Name | DR. BOONE W GOODGAME |
| Credential | MD |
| Practice Address |
1180 Seton Pkwy Suite 150 Kyle TX 78640-6178 |
| Mailing Address |
1601 Rio Grande St Suite 340 Austin TX 78701-1137 |
| Practice Telephone | 5125040865 |
| Practice Fax Number | 5125040863 |
| Mailing Telephone | 5123248960 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
2004016554 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 215859403 | 05 | |
| TX | 215859404 | 05 |
| Street Address |
1180 SETON PKWY SUITE 150 |
| City | KYLE |
| State | TX |
| Zip Code | 78640-6178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487474 | John Feldmeier | Radiology | 1180 Seton Pkwy, Kyle, TX 78640 | 2005-06-17 |
| 1598113953 | Kids Dental Works | Dentist | 1180 Seton Pkwy, Suite 425, Kyle, TX 78640-6178 | 2016-05-26 |
| 1174936074 | Central Texas Medical Specialists, Pllc | Internal Medicine | 1180 Seton Pkwy, Ste 150, Kyle, TX 78640-6178 | 2014-06-09 |
| 1346583531 | Christina Lee Russell | Pharmacy Technician | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6178 | 2013-04-05 |
| 1629316930 | Mary Grace Gloria | Physician Assistant | 1180 Seton Pkwy, Suite 220, Kyle, TX 78640-6178 | 2013-01-21 |
| 1144597402 | Tiphany Price | Nurse Practitioner | 1180 Seton Pkwy, Suite 450, Kyle, TX 78640-6178 | 2011-11-30 |
| 1598050841 | Ent Associates of Central Texas | Otolaryngology | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2011-06-15 |
| 1992007728 | Katherine Joy Kaut | Nurse Practitioner | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2010-11-30 |
| 1720398266 | Austin Southwest Orthopaedic Group, P.a. | Orthopaedic Surgery | 1180 Seton Pkwy, Suite 220, Kyle, TX 78640-6178 | 2010-10-18 |
| 1497062194 | Urology Associates of Central Texas Pa | Urology | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6179 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909853 | Advanced Spine & Wellness LLC | Chiropractor | 1101 Bunton Creek Rd., Ste. 330, Kyle, TX 78640 | 2019-12-17 |
| 1154962587 | Shelbi Hancock | Behavior Technician | 4221 Benner Road, Building 2, Suite 250, Kyle, TX 78640 | 2019-10-07 |
| 1326696469 | Robin Corina Dean | Physical Therapist | 21195b Ih35n Ste 201, Kyle, TX 78640 | 2019-09-02 |
| 1417503798 | Judson Sturdivant | Durable Medical Equipment & Medical Supplies | 1101 Bunton Creek Road, Kyle, TX 78640 | 2019-08-13 |
| 1063974152 | Fearless Functional Fitness, LLC | Physical Therapist | 140 Kirkham Circle, Kyle, TX 78640 | 2019-04-05 |
| 1639649197 | Virginia Vela | Nurse Practitioner | 180 Orion Cove, Kyle, TX 78640 | 2018-11-27 |
| 1033691878 | Keshavi Patel Pllc | Clinic/Center | 22510 Ih-35, Suite 104, Kyle, TX 78640 | 2018-08-29 |
| 1720564669 | Deborah Ann Burks | Massage Therapist | 147 Elmhurst Dr., 147 Elmhurst Dr. Ste 700, Kyle, TX 78640 | 2018-07-13 |
| 1689165995 | Daybreak Counseling Pllc | Counselor | 261 Mistletoe Ln, Kyle, TX 78640 | 2018-05-22 |
| 1194229179 | Amalia Belle Miller | Social Worker | 271 Hutton, Kyle, TX 78640 | 2018-03-22 |
| Find all providers in zip 78640 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174936074 | Central Texas Medical Specialists, Pllc | Internal Medicine | 1180 Seton Pkwy, Ste 150, Kyle, TX 78640-6178 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
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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.