Gary Richard Goodman (NPI# 1598758617, PAC ID# 2062441652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1598758617 |
PAC ID by PECOS | 2062441652 |
Professional Enrollment ID | I20100626000041 |
Full Name | Gary Richard Goodman |
Organization Legal Name | FOOT AND ANKLE PHYSICIANS P A |
Address |
2350 Sunset Point Rd A Clearwater FL 33765-1443 |
Phone Number | 7277960565 |
Gender | M |
Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1977 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 4880623479 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100127 | MORTON PLANT HOSPITAL |
Address | Phone | Organization |
---|---|---|
2350 Sunset Point Rd A, Clearwater, FL 33765-1443 | 7277960565 | FOOT AND ANKLE PHYSICIANS P A |
Organization Legal Name | FOOT AND ANKLE PHYSICIANS P A |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bao Tram Nguyen | Podiatry | Foot and Ankle Physicians P A | 2350 Sunset Point Rd A, Clearwater, FL 33765-1443 |
Elizabeth M Edwards | Podiatry | Foot and Ankle Physicians P A | 2350 Sunset Point Rd A, Clearwater, FL 33765-1443 |
Street Address |
2350 SUNSET POINT RD A |
City | CLEARWATER |
State | FL |
Zip | 33765-1443 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bao Tram Nguyen | Podiatry | Foot and Ankle Physicians P A | 2350 Sunset Point Rd A, Clearwater, FL 33765-1443 |
Elizabeth M Edwards | Podiatry | Foot and Ankle Physicians P A | 2350 Sunset Point Rd A, Clearwater, FL 33765-1443 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dawne Era | Clinical Social Worker | 1980 Sunset Point Rd, Clearwater, FL 33765-1132 | |
Dianna Lynn Magee | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Erica Barrera | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Coleen Villarreal | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Amy Stone | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Sherri Crawford | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Evelyn I Gonzalez | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Mary Zink | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
James Raymond Soetebeer | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Kimberly Ancell | Nurse Practitioner | Clinicare Clinical Services, Inc. | 2112 Sunnydale Blvd, Suite B, Clearwater, FL 33765-1207 |
Find all physicians in zip 33765 |
City | CLEARWATER |
Zip Code | 33765 |
Specialty | PODIATRY |
City + Specialty | CLEARWATER + PODIATRY |
Please comment or provide details below to improve the information on Gary Richard Goodman.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.