Theresa Keller Goebel D O P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS8519 Issued in FL

Legal business name

THERESA KELLER GOEBEL D O P A

Practice address

11786 SE Federal Hwy
Hobe Sound, FL 33455-5303

Phone

(772) 546-4215

Fax

(772) 546-8741

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Keller Goebel, DONPI 1366638835

Title

President

Phone

(772) 546-4215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Goebel, D.O.

  • Family Medicine Physician
  • Hobe Sound, FL
  • NPI 1366638835
  Medicare reassignment Care Compare group NPD Authorized official
• Christi M Roush, CNP

  • Nurse Practitioner
  • Hobe Sound, FL
  • NPI 1154864304
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1962483438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555303",
            "telephone_number": "772-546-4215",
            "fax_number": "772-546-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555303",
            "telephone_number": "772-546-4215",
            "fax_number": "772-546-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA KELLER GOEBEL D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "KELLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-546-4215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS8519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Stone
• Latisha Summers
• Susan Greenberg,M.D.
• Tequesta Medical Services, LLC
• Cena Theodore
• Thomson Healthcare Services, Inc.
• THS Opco LLC
• THS Opco LLC
• Shree Kumar Tirunagari, M.B.B.S.,M.S.,M CH.
• Nicole Townsley

• Specialist in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.