Kabs Goodwill, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME102530 Issued in FL

Legal business name

KABS GOODWILL, LLC

Practice address

2806 E Bearss Ave
Tampa, FL 33613-2653

Phone

(813) 977-7804

NPI assigned

Apr 8, 2010

Organization subpart

Yes

Parent organization

BEARRS MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Bode Ishola

Title

President

Phone

(813) 977-7804

Specialties & licenses 1

Addresses

Other names 1

• BEARSS MEDICAL CLINIC Doing business as

Part of

Kabs Goodwill LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Chidi Okpaleke, M.D., MPH

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1861453193
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1225354822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132653",
            "telephone_number": "813-977-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132653",
            "telephone_number": "813-977-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABS GOODWILL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEARRS MEDICAL CLINIC",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "ISHOLA",
        "authorized_official_first_name": "BODE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-977-7804"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME102530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEARSS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• K&W Medical Billing Services
• K3T LLC
• Harsha Vipul Kabaria, D.C.
• Vipul V Kabaria, MD
• Albert Mayombo Kabemba, M.D.
• Kabs Goodwill, LLC
• Kabs of Florida
• Kabs of Tampa Inc
• Kabs of Tampa Inc
• Michael Kachmar, DO

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.