Keisha A Goodison, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS9480 Issued in FL

Practice address

100 E Sample Road
Suite 300
Pompano Beach, FL 33064-3554

Phone

(954) 366-3425

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Osteopathy

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.

• Elite Hospitalists of South FL LLC

  • Hospitalist Physician
  • Sunny Isles Beach, FL
  • NPI 1508394446
  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1184632424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE ROAD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "954-366-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE ROAD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "954-366-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODISON",
        "first_name": "KEISHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gonzalez
• Maria de Los Angeles Gonzalez, FNP
• Yasmin Gonzalez
• Yoslaine Gonzalez
• Kelsey Meghan Good, PT, DPT, ATC
• Darrold Gooley, RN
• Ashley Kristen Gordon
• Dahlia V. Gordon, PSY.D.
• Robin Gordon, OTR/L
• Daria Goriacheva

• Family Medicine Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.