Goodendos LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

GOODENDOS LLC

Practice address

41 Fairpoint Dr Ste B
Gulf Breeze, FL 32561-4380

Phone

(850) 733-3636

Fax

(448) 444-5678

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael Arthur Hennigan, MD FACP FACE

Title

Owner

Phone

(850) 773-3636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1265194708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR STE B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614380",
            "telephone_number": "850-733-3636",
            "fax_number": "448-444-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR STE B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614380",
            "telephone_number": "850-733-3636",
            "fax_number": "448-444-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODENDOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "HENNIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-773-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACP FACE"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albin McCulla Gilmer, PT
• Tracy Glaze, LMHC
• Elise Glines
• Darby Lynn Godwin, PH.D
• Michelle Renee Gonzalez, D.M.D
• Zenus Annzarie Goodyard, LMT
• Cori Graham
• Donald Vernon Grant
• Genevieve Marie Green, MSW
• Leslynne Lee Green

• Endocrinology, Diabetes & Metabolism Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.