Goodside Health Medical, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GOODSIDE HEALTH MEDICAL, PLLC

Practice address

9910 Indian School Rd NE Ste 204
Albuquerque, NM 87112-2971

Phone

(512) 884-5190

NPI assigned

Feb 5, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian White

Title

Ceo

Phone

(817) 244-0101

Specialties & licenses 6

Addresses

Locations (25 of 65)

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Rose Agolia, MD

  • Family Medicine Physician
  • Piedmont, CA
  • NPI 1831351063
  NPD
• Leticia Alvarez, PAC

  • Medical Physician Assistant
  • Pharr, TX
  • NPI 1174579064
  NPD
• Faith Banda, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1194018549
  NPD
• Yadira A Barrera, PA-C

  • Physician Assistant
  • Roma, TX
  • NPI 1013442284

  Pediatrics

  NPD
• Juhi Hitendra Bhatt

  • Physician Assistant
  • Austin, TX
  • NPI 1477195212
  NPD
• Nicole Ivett Blanco, APRN-CNP

  • Family Nurse Practitioner
  • Deer Park, TX
  • NPI 1427758382
  NPD
• Bear Bruce Causseaux, FNP

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1770034548
  NPD
• Sabrina Didarali

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1508118282
  NPD
• Leigh A Dixon

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1558342360
  NPD
• Laura Driggers, FNP-BC

  • Family Nurse Practitioner
  • Waxahachie, TX
  • NPI 1952757825
  NPD
• Beverly Garrison, PA

  • Medical Physician Assistant
  • Plantation, FL
  • NPI 1548301179
  NPD
• Sujan Gogu, D.O.

  • Sports Medicine (Family Medicine) Physician
  • McAllen, TX
  • NPI 1407268162
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1033972716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 INDIAN SCHOOL RD NE STE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122971",
            "telephone_number": "512-884-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODSIDE HEALTH MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-06-13",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-244-0101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Goodrich, CISSP-ISSEP
• Jeanie E Goodrich, RPH
• Kristopher Michael Goodrich, PHD
• Jasmine Simone Goodridge
• Goodrow Family & Youth Institute
• Roberta Ann Goodson
• Jessica Goodstein, AUDIOLOGIST
• Matthew Ian Goodstein, D.O
• Goodwill Industries of N.M.
• Boyd Harrison Goodwin, M.D.

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.