DR. KINA LE GOODMAN (NPI# 1790104669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790104669 |
| Entity Type | Individual |
| Full Name | DR. KINA LE GOODMAN |
| Credential | M.D. |
| Practice Address |
1405 Clifton Rd Ne Atlanta GA 30322-0005 |
| Mailing Address |
1393 Branch Dr Tucker GA 30084-1274 |
| Practice Telephone | 6159361000 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 78066 | GA | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
78066 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1405 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167040 | Kiesha Fraser Doh | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2006-01-06 |
| 1316548654 | Alexa Shea | Audiologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-11-03 |
| 1669071866 | Tara Hynes | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-10-20 |
| 1255947628 | Lauren Nicole Halula | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-09-21 |
| 1003424151 | Meagan Green | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-07-15 |
| 1518587096 | Diane Bailey | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-24 |
| 1194345264 | Meghan Mchale | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-19 |
| 1194344788 | Marisa Winter | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-13 |
| 1073142410 | Kaley Laurence French | Student in an Organized Health Care Education/Training Program | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-07 |
| 1326677600 | Chari Lakey | Technician/Technologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-3050 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346427424 | Mark J Ward | Pediatrics | 1680 Tullie Cir Ne, Atlanta, GA 30329-2321 | 2008-01-30 |
| 1508937863 | Jeffrey F Linzer Sr. | Pediatrics | Childrens Healthcare of Atlanta At Egleston, 1405 Clifton Road Ne, Atlanta, GA 30322-1062 | 2006-11-10 |
| 1801834924 | Amit Pundalik Sarnaik | Pediatrics | 1001, Johnson Ferry Road, Childrens Healthcare of Atlanta At Scottish Rite, Atlanta, GA 30342 | 2006-06-02 |
| 1881642866 | Nikita C Rangwalla | Pediatrics | 1001 Johnson Ferry Road Ne, Atlanta, GA 30342 | 2006-05-04 |
| 1437680956 | Robert M Grell | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-8111 | 2017-03-26 |
| 1174054837 | Brent Michael Troy | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-3818 | 2017-03-24 |
| 1174926562 | Gagandeep Kaur Kooner | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2014-09-30 |
| 1205253390 | Morgan Sparks Martin | Pediatrics | 1364 Clifton Rd Ne, Atlanta, GA 30322-2360 | 2014-03-26 |
| 1982846424 | Sarah Gard Lazarus | Pediatrics | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2009-03-30 |
| 1912169939 | Reena R Blanco | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2008-07-01 |
| Find all providers in ATLANTA | ||||
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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.