Elizabeth Juventa Goman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME151986 Issued in FL

Practice address

4430 14TH St W
Bradenton, FL 34207-1425

Phone

(941) 297-2123

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Archwell Health Medical of Florida, LLC

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1497453450
  Medicare reassignment NPD
• High Ridge Int & Womens Medicine

  • Internal Medicine Physician
  • Norwalk, CT
  • NPI 1568510865
  NPD (past) Authorized official
• Fairfield County Medical Services Inc

  • Specialist
  • Norwalk, CT
  • NPI 1134178577

  Internal Medicine

  NPD (past)
• Los Robles Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1417983552
  NPD (past)
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Internal Medicine

  NPD (past)
• Tri-County Clinical

  • Family Medicine Physician
  • Luling, TX
  • NPI 1336456227

  Internal Medicine

  NPD (past)
• Tri-County Clinical

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1588971477

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1114952744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-315-5257",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 14TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071425",
            "telephone_number": "941-297-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMAN",
        "first_name": "ELIZABETH",
        "middle_name": "JUVENTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME151986",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "L6Z09",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8852737",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CX150",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284425001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard A Goldman, M.D.
• Bradley E Goldstein, D.O., M.P.H., M.S.
• Alessandro Golino, M.D.
• Michael Golpanian
• Yelena Golubeva, N.P.
• Lakisha Gomez, LMHC
• Leslie Anne Gomez, D.O.
• Xenia Gomez
• John Christopher Goncalves, DO
• Lisbet Yamel Gongora

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.