Active NPI
Segundo Joel Cardenas- Goicoechea, MD
- Gynecologic Oncology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- ME126605
- Practice address
- 1600 SW Archer Road
Box 100294
Gainesville, FL 32610 - Phone
- (352) 273-7584
- Fax
- (352) 392-3498
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35-120960 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | MT187907 | PA | |
| Gynecologic Oncology Physician | 207VX0201X | ME126605 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Road
Box 100294
Gainesville, FL 32610
Mailing address
1600 SW Archer Road
Box 100294
Gainesville, FL 32610-0294
Phone (352) 273-7584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016950400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
Hospital & facility affiliations
- Cleveland Clinic Hospital
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Martin North Hospital
- Cleveland Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-120960 | OH | MD | Obstetrics & Gynecology Physician |
| MT187907 | PA | MD | Obstetrics & Gynecology Physician |
| ME126605 | FL | MD | Gynecologic Oncology Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jcardenas@zangcenter.direct.varian.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Cardiovascular Disease Physician
- Sebastian, FL
- NPI 1659651990
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Obstetrics & Gynecology Physician
- Gainesville, FL
- NPI 1902002454
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1720143852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SW ARCHER ROAD",
"address_2": "BOX 100294",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100294",
"telephone_number": "352-273-7584",
"fax_number": "352-392-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER ROAD",
"address_2": "BOX 100294",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32610",
"telephone_number": "352-273-7584",
"fax_number": "352-392-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS- GOICOECHEA",
"first_name": "SEGUNDO",
"middle_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35-120960",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT187907",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "FL",
"license": "ME126605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016950400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Mark K Carberry, DPT
- Kevin Michael Carbonell, D.M.D
- Alexis Carbonneau
- Michelle Cardel, PH.D., R.D.
- Jose Maria Cardenas Fimbres, MD
- Ivette Cardenas-Esprit, APRN
- Cardiac & Vascular Surgery Associates, Inc.
- Cardiac & Vascular Surgery Specialist, PA
- Cardiac and Vascular Institute Ambulatory Surgery Center, LLC
- Cardiology Associates of Gainesville
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.