Active NPI
Sharon Noble Goldish, M.D.
- Surgery Physician
- Daytona Beach, FL
National Provider Identifier
1891791380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME101229
- Practice address
- 201 N Clyde Morris Blvd
Ste 205
Daytona Beach, FL 32114-2724 - Phone
- (386) 425-3165
- Fax
- (386) 254-4285
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME101229 | FL | Primary |
Addresses
Primary practice location
201 N Clyde Morris Blvd
Ste 205
Daytona Beach, FL 32114-2724
Mailing address
201 N Clyde Morris Blvd
Ste 205
Daytona Beach, FL 32114-2724
Phone (386) 425-3165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086177 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Surgery | Past | Accepting new patients |
| Boffa Medical Group LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Chicago, IL
- NPI 1689687527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1891791380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N CLYDE MORRIS BLVD",
"address_2": "STE 205",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142724",
"telephone_number": "386-425-3165",
"fax_number": "386-254-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N CLYDE MORRIS BLVD",
"address_2": "STE 205",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142724",
"telephone_number": "386-425-3165",
"fax_number": "386-254-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDISH",
"first_name": "SHARON",
"middle_name": "NOBLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME101229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086177",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.