Anil K Goyal MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME68744 Issued in FL

Legal business name

ANIL K GOYAL MD PA

Practice address

2716 South US #1
Fort Pierce, FL 34982-5919

Phone

(772) 467-0605

Fax

(772) 467-0477

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Anil K Goyal, MD

Title

Physician

Phone

(772) 467-0605

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1922103647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 SOUTH US #1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825919",
            "telephone_number": "772-467-0605",
            "fax_number": "772-467-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 SOUTH US #1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825919",
            "telephone_number": "772-467-0605",
            "fax_number": "772-467-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL K GOYAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-467-0605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME68744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378557200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "27362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.