Good Shepherd Medical Clinic PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0048810 Issued in FL

Legal business name

GOOD SHEPHERD MEDICAL CLINIC PA

Practice address

11373 Cortez Blvd
Suite 209
Brooksville, FL 34613-5414

Phone

(352) 596-4027

Fax

(352) 597-9727

NPI assigned

Apr 20, 2009

Organization subpart

Yes

Parent organization

GOOD SHEPHERD MEDICAL CLINIC PAAs reported in NPPES

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

Authorized official

Name

Dr. Roger B Lee, M.D.

Title

President

Phone

(352) 686-5023

Specialties & licenses 1

Addresses

Part of

Nathan C Devabose MD

Locations

Practitioners 1

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

• Hubert Ogan Garcia, M.D.

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1831165844
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1316180409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 209",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-596-4027",
            "fax_number": "352-597-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 209",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-596-4027",
            "fax_number": "352-597-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICAL CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD MEDICAL CLINIC PA",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-686-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0048810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Elisa Gonzalez
• Evelyn Gonzalez
• Gina Jannay Gonzalez, M.A.
• Lorna Marie Gonzalez, CRNA
• Sarah Gonzalez
• Good Shepherd Medical Clinic PA
• Sonya Michelle Goodner, PA-C, MPH
• Kenneth D. Googe, PA-C
• Brittany Gosine, OTR
• Jennifer Louise Gottsch, RN

• Cardiovascular Disease Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.