DR. ROSS JOHN GOODFELLOW (NPI# 1992765044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992765044 |
| Entity Type | Individual |
| Full Name | DR. ROSS JOHN GOODFELLOW |
| Credential | D.O. |
| Practice Address |
699 W Cocoa Beach Cswy Suite 503 Cocoa Beach FL 32931-3577 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214346650 |
| Practice Fax Number | 3218688396 |
| Mailing Telephone | 3214346650 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
OS10988 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002674000 | 05 | |
| FL | MEDICARE | DO109Y | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8725 N Wickham Rd Ste 302, Melbourne, FL 329402240 | 3214346550 | 3214349231 |
| 1223 Gateway Dr Ste 2e, Melbourne, FL 329012607 | 3213123494 | 3219526946 |
| Street Address |
699 W COCOA BEACH CSWY SUITE 503 |
| City | COCOA BEACH |
| State | FL |
| Zip Code | 32931-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785426 | Dusan Sabol | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 506, Cocoa Beach, FL 32931 | 2005-07-22 |
| 1245782838 | Patricia Gallagher Harvey | Nurse Practitioner | 699 W Cocoa Beach Cswy, 405, Cocoa Beach, FL 32931-3577 | 2016-10-29 |
| 1891070330 | Kimberly Melissa Bates | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 603, Cocoa Beach, FL 32931-3577 | 2011-10-16 |
| 1083940381 | Sandra M Jennings Ingle | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2009-10-22 |
| 1891021119 | Allysia Affonso | Nurse Practitioner | 699 W Cocoa Beach Cswy, Suite 503, Cocoa Beach, FL 32931-3577 | 2009-10-21 |
| 1639320880 | Joseph John Bedway Jr. | Surgery | 699 W Cocoa Beach Cswy, Suite 505, Cocoa Beach, FL 32931-3577 | 2008-10-07 |
| 1013180611 | Patrick R. Sonser | Physical Medicine & Rehabilitation | 699 W Cocoa Beach Cswy, Suite 405, Cocoa Beach, FL 32931-3577 | 2008-04-04 |
| 1689843211 | Health First Physicians, Inc | Durable Medical Equipment & Medical Supplies | 699 W Cocoa Beach Cswy, Suite 405, Cocoa Beach, FL 32931-3577 | 2008-02-28 |
| 1093913550 | Hassan Borghei | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 601, Cocoa Beach, FL 32931-3577 | 2007-07-06 |
| 1679790513 | Will Wei Xiong | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 502, Cocoa Beach, FL 32931-3577 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275016 | Daniel Edgar Ferrier | Specialist/Technologist | 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 | 2018-02-13 |
| 1891206793 | Peace Club Inc. | Counselor | 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 | 2017-10-18 |
| 1811384696 | Magnolia House Assisted Living Facility LLC | Assisted Living Facility | 103 Yacht Haven Drive, Cocoa Beach, FL 32931 | 2015-04-20 |
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1033464441 | Cori Megan Daniels | Nurse Practitioner | 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 | 2012-07-23 |
| 1871850313 | Adel Tadros Fahmy | Obstetrics & Gynecology | 68 Country Club Road, Cocoa Beach, FL 32931 | 2012-04-23 |
| 1497021760 | Armstrong Chiropractic Family Center, Inc. | Clinic/Center | 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 | 2012-03-30 |
| 1710261516 | Jill L Carey | Speech-Language Pathologist | 50 Country Club Rd, Cocoa Beach, FL 32931 | 2011-09-28 |
| 1700173416 | Barbara Greene | Registered Nurse | 26 West Point Drive, Cocoa Beach, FL 32931 | 2011-07-01 |
| Find all providers in zip 32931 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | COCOA BEACH |
| Zip Code | 32931 |
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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.