KEISHA GOODISON DO, PA (NPI# 1710114558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710114558 |
| Entity Type | Organization |
| Organization Name | KEISHA GOODISON DO, PA |
| Practice Address |
100 E Sample Rd Suite 300 Pompano Beach FL 33064 |
| Mailing Address |
100 E Sample Rd Suite 300 Pompano Beach FL 33064-3554 |
| Practice Telephone | 9543663425 |
| Practice Fax Number | 9543663510 |
| Mailing Telephone | 9543663425 |
| Mailing Fax Number | 9543663510 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | DR. KEISHA ADAMA GOODISON (PRESIDENT) |
| Authorized Official Telephone | 9543663425 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
100 E SAMPLE RD SUITE 300 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449084 | Sanford M Silverman | Specialist | 100 E Sample Rd, Ste 200, Pompano Beach, FL 33064-3554 | 2005-07-07 |
| 1700328440 | Nichi Surgical LLC | Surgery | 100 E Sample Rd, Suite 300, Pompano Beach, FL 33064-3554 | 2016-11-11 |
| 1710439245 | Sarah K. Weiss | Dietitian, Registered | 100 E Sample Rd, Suite 320, Pompano Beach, FL 33064-3554 | 2016-11-01 |
| 1306214606 | Rr Medco LLC | Clinic/Center | 100 E Sample Rd, Suite 320, Pompano Beach, FL 33064-3554 | 2015-09-03 |
| 1255670550 | Cynthia Alceus Dominique | Nurse Practitioner | 100 E Sample Rd, Unit 330, Pompano Beach, FL 33064-3554 | 2013-02-06 |
| 1023368164 | Prime Pediatric Associates, LLC | Pediatrics | 100 E Sample Rd, Ste 120, Pompano Beach, FL 33064-3554 | 2012-09-17 |
| 1871869008 | Synergy Dialysis Inc | Clinic/Center | 100 E Sample Rd, Suite 120, Pompano Beach, FL 33064-3554 | 2012-04-02 |
| 1508068008 | Institute of Pain Management Pa | Specialist | 100 E Sample Rd, #200, Pompano Beach, FL 33064-3554 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003271909 | Dr. Sarita Munuswamy | Clinic/Center | 1600 N Federal Hwy Ste B, Pompano Beach, FL 33062-3229 | 2015-12-18 |
| 1295063212 | Integral Primary Care Inc. | Clinic/Center | 27 Ne 1st Ave, Pompano Beach, FL 33060-6609 | 2009-12-02 |
| 1457550675 | Kiskeya Health Network LLC | Clinic/Center | 126 N Flagler Ave, Pompano Beach, FL 33060-6635 | 2007-07-17 |
| 1740496710 | Ali R. Zargaran | Clinic/Center | 2701 E Atlantic Blvd, Pompano Beach, FL 33062-4941 | 2007-05-15 |
| 1811939440 | Oaklander Primary Medical Associates Pa | Clinic/Center | 311 S Cypress Rd, Pompano Beach, FL 33060-7133 | 2006-06-11 |
| 1295209682 | Bless Medical Center Corp | Clinic/Center | 440 E Sample Rd, Pompano Beach, FL 33064-4444 | 2019-01-18 |
| 1134666423 | John B Crescitelli D.o. P.a. | Clinic/Center | 1 W Sample Rd, Suite 302, Pompano Beach, FL 33064-3547 | 2017-01-24 |
| 1245584200 | Caps Medical Management, LLC | Clinic/Center | 750 E Sample Rd, Bldg 3, Bay 6, Pompano Beach, FL 33064-5144 | 2012-10-30 |
| 1891042867 | Lowell A Adkins M.d.,p.a. | Clinic/Center | 3135 W Atlantic Blvd, Suite 14 & 15, Pompano Beach, FL 33069-2565 | 2012-08-09 |
| 1265737134 | Marvin I Schiff M.d., P.a. | Clinic/Center | 27 Ne 1st Ave, Pompano Beach, FL 33060-6609 | 2011-01-24 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
Please comment or provide details below to improve the information on KEISHA GOODISON DO, PA.
| 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.