Selbourne Goode MD PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SELBOURNE GOODE MD PLLC

Practice address

601 N. Flamingo Rd
Suite 305
Pembroke Pines, FL 33028-1010

Phone

(954) 442-0025

Fax

(954) 442-0026

NPI assigned

May 15, 2012

Last updated

Apr 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Selbourne Goode, MDNPI 1730126095

Title

Owner

Phone

(954) 442-0025

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selbourne C Goode, MD

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
  • NPI 1730126095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1417216268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO RD",
            "address_2": "SUITE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281010",
            "telephone_number": "954-442-0025",
            "fax_number": "954-442-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N. FLAMINGO RD",
            "address_2": "SUITE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281010",
            "telephone_number": "954-442-0025",
            "fax_number": "954-442-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELBOURNE GOODE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "SELBOURNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-442-0025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256577300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Matthew Seifert
• Kylie Seifert, DO
• Tara Seijo, ARNP
• Yaminah Sejour, NURSE
• Timur Sekercioglu
• Select Physical Therapy Holdings Inc
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• Kristen Selema, D.O.
• Islon Seliger, MD
• Clifford Howard Selinger, DDS

• Cardiovascular Disease Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 18, 2014; 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.