Keisha Goodison DO, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KEISHA GOODISON DO, PA

Practice address

100 E Sample Rd
Suite 300
Pompano Beach, FL 33064

Phone

(954) 366-3425

Fax

(954) 366-3510

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Keisha Adama Goodison, DO

Title

President

Phone

(954) 366-3425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1710114558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "954-366-3425",
            "fax_number": "954-366-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-366-3425",
            "fax_number": "954-366-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEISHA GOODISON DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "GOODISON",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "ADAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-366-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kci USA, Inc.
• Allyson Martin Kearney, BCBA
• Paul Keefe
• Shauna Keefe
• Summer Lyn Keenan, M.S., LPC, NCC
• Nicole Keith, LMFT
• Gerald C Keller, PT
• Katie Elizabeth Keller
• Ann Kelly
• Daniel Kelly, DDS

• Primary Care Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.