Organization Active NPI

Good Health Physicians, LLC

  • Family Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1245572908
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108394 Issued in FL
Legal business name
GOOD HEALTH PHYSICIANS, LLC
Practice address
1501 1St St S
Winter Haven, FL 33880-4307
Phone
(800) 937-4616
Fax
(270) 904-4236
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Shoba R Sama, MDNPI 1952601643
Title
MD
Phone
(347) 933-2430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME108394 FL Primary

Addresses

Primary practice location

1501 1St St S
Winter Haven, FL 33880-4307

Mailing address

1501 1St St S
Winter Haven, FL 33880-4307
Phone (800) 937-4616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130523000322 FL Part B Supplier - Clinic/Group Practice 3476791930 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

631 E Central Ave
Winter Haven, FL 33880
Phone (863) 229-2540

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1245572908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804307",
            "telephone_number": "800-937-4616",
            "fax_number": "270-904-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804307",
            "telephone_number": "800-937-4616",
            "fax_number": "270-904-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "SAMA",
        "authorized_official_first_name": "SHOBA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-933-2430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.