The Good Shepherd Medical Center LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

THE GOOD SHEPHERD MEDICAL CENTER LLC

Practice address

9119 Ridge Rd
Suite 4
New Port Richey, FL 34654-5059

Phone

(727) 807-6969

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Summer Demetrius

Title

Owner

Phone

(727) 807-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1861934721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 E BAY DR",
            "address_2": "SUITE 100",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 RIDGE RD",
            "address_2": "SUITE 4",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545059",
            "telephone_number": "727-807-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPHERD MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DEMETRIUS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-807-6969"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Kent Tharp
• Thatavarthy Family Dental PLLC (Orange Grove Dental)
• The Bay Counseling Group, LLC
• The Blue Door Infant and Maternal Wellness LLC
• The Eye Institute LLC
• The New Port Richey FL Multi Specialty ASC LLC (Meadow Lane Surgery Center)
• The New Port Richey FL Multi Specialty ASC LLC (Meadow Lane Surgery Center)
• The Patient Portal Group LLC
• The Red Apple School, Inc
• Tiffiny Thedy, BSW

• Sleep Disorder Diagnostic Clinic/Center in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.