Stacey S Goodale (NPI# 1063758019, PAC ID# 5294980801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063758019 |
| PAC ID by PECOS | 5294980801 |
| Professional Enrollment ID | I20130306000103 |
| Full Name | Stacey S Goodale |
| Organization Legal Name | INTERCOASTAL MEDICAL GROUP INC |
| Address |
11505 Rangeland Pkwy Bradenton FL 34211-9504 |
| Phone Number | 9419076016 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6305730912 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 | 9419076016 | INTERCOASTAL MEDICAL GROUP INC |
| Organization Legal Name | INTERCOASTAL MEDICAL GROUP INC |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Stark Suplee | Vascular Surgery | Intercoastal Medical Group Inc | 3333 Cattlemen Rd, Suite 206, Sarasota, FL 34232-6058 |
| Amber D Swartz | Nurse Practitioner | Intercoastal Medical Group Inc | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 |
| Juan Carlos Vigil | Hospitalist | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Suzanne Rodkey Lutton | Cardiovascular Disease (cardiology) | Intercoastal Medical Group Inc | 965 S Beneva Rd, Sarasota, FL 34232-2401 |
| Ricardo H Gonzales | Neurology | Intercoastal Medical Group Inc | 2881 Hyde Park St, First Floor Neurology, Sarasota, FL 34239-3228 |
| Sy Rabins | Family Medicine | Intercoastal Medical Group Inc | 921 S Beneva Rd, Sarasota, FL 34232-2401 |
| Vicki Rose Mccarren | Internal Medicine | Intercoastal Medical Group Inc | 8592 Potter Park Dr, Sarasota, FL 34238-5467 |
| Hakim Morsli | Cardiovascular Disease (cardiology) | Intercoastal Medical Group Inc | 965 S Beneva Rd, Sarasota, FL 34232-2401 |
| Philip Patrick Murphy | Hospitalist | Intercoastal Medical Group Inc | 943 S Beneva Rd, Suite 204, Sarasota, FL 34232-2472 |
| Ricardo A Yaryura | Cardiovascular Disease (cardiology) | Intercoastal Medical Group Inc | 965 S Beneva Rd, Sarasota, FL 34232-2401 |
| Street Address |
11505 RANGELAND PKWY |
| City | BRADENTON |
| State | FL |
| Zip | 34211-9504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Lee Browning Iv | General Surgery | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Robert J Summerlee | Gastroenterology | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Kevin P Lipscomb | Family Medicine | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Jeffrey E Gretz | Gastroenterology | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Randi L Kauffman | Diagnostic Radiology | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Christine M Cicco-brown | Otolaryngology | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Matthew J Aresery | Emergency Medicine | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Deborah J Sauder | Family Medicine | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Jason Andrew Collins | Orthopedic Surgery | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Anthony C Skidmore | Cardiovascular Disease (cardiology) | Intercoastal Medical Group Inc | 11505 Rangeland Pkwy, Bradenton, FL 34211-9504 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis L Otto | Psychologist, Clinical | 2214 Wood Leaf Hammock Court, Lakwood Ranch, FL 34211-0511 | |
| Gabriel D Ramsey | Certified Registered Nurse Anesthetist (crna) | Lakewood Ambulatory Anesthesia Pllc | 1917 Worth Ct, Bradenton, FL 34211-2110 |
| Lyndsey Nalu | Qualified Audiologist | 11041 Gatewood Dr, Bradenton, FL 34211-4916 | |
| Richard A Saladino | Chiropractic | 11009 Gatewood Dr, Suite 103, Bradenton, FL 34211-4941 | |
| Cynthia L Hornback | Chiropractic | Hornback Chiropractic and Wellness Pa | 11023 Gatewood Dr, Suite 101, Bradenton, FL 34211-4945 |
| Ashley M Thomas | Chiropractic | Hornback Chiropractic and Wellness Pa | 11023 Gatewood Dr, Suite 101, Bradenton, FL 34211-4945 |
| Jacqueline P Figueroa | Chiropractic | Hornback Chiropractic and Wellness Pa | 11023 Gatewood Dr, Suite 101, Bradenton, FL 34211-4945 |
| Regina Irene Travis | Internal Medicine | 4642 Balboa Park Loop, Bradenton, FL 34211-4960 | |
| Debbie Lynn Hage | Clinical Social Worker | 21705 67th Ave E, Bradenton, FL 34211-7089 | |
| Kara Allison Collier | Optometry | Collier Vision Group, Pa | 5489 Lena Rd, Lakewood Ranch, FL 34211-9449 |
| Find all physicians in zip 34211 | |||
| City | BRADENTON |
| Zip Code | 34211 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BRADENTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Stacey S Goodale.
| 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.