Individual provider Active NPI

Jonathan Goodwin Hisghman II, D.O.

  • Anesthesiology Physician
  • Trinity, FL
National Provider Identifier
1689888034
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS0009623 Issued in FL
Practice address
9440 State Road 54
Trinity, FL 34655
Phone
(727) 848-1733
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS9623 SC
Anesthesiology Physician 207L00000X OS0009623 FL Primary

Addresses

Primary practice location

9440 State Road 54
Trinity, FL 34655

Mailing address

9330 State Road 54
Anesthesia Dept
New Port Richey, FL 34655
Phone (727) 834-4095

Other identifiers 1

IdentifierTypeStateIssuer
0S9623OtherFLMEDICAL LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070921000706 FL Practitioner - Anesthesiology 6406940345 Reassigns benefits to 2 organizations
I20200922002386 SC Practitioner - Anesthesiology 6406940345 Reassigns benefits to 1 organization
I20240420000078 MT Practitioner - Anesthesiology 6406940345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Gallatin Valley Anesthesia Associates PCGroup PAC ID 1456372523, 35 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 585-5000

9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 834-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0009623FLMDAnesthesiology Physician
OS9623SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jul 15, 2024 Accepting new patients
Billings Clinic CurrentSince Apr 23, 2025 Accepting new patients
Billings Clinic CurrentSince Apr 23, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Dec 23, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Dec 23, 2019 Accepting new patients
Gallatin Valley Anesthesia Associates PC Anesthesiology CurrentSince Apr 15, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Aug 12, 2020 Accepting new patients
Intercity Radiology, PC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2949 10TH Ave N
Billings, MT 59101

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1689888034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 STATE ROAD 54",
            "address_2": "ANESTHESIA DEPT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-834-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-848-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISGHMAN",
        "first_name": "JONATHAN",
        "middle_name": "GOODWIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "OS9623",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS0009623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE",
            "identifier": "0S9623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.