Individual provider Active NPI

Ronald Goodwich, MD

  • Nuclear Medicine Physician
  • Tampa, FL
National Provider Identifier
1992913941
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
ME 101513 Issued in FL
Practice address
3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Phone
(813) 875-3950
Fax
(813) 872-2741
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X ME 101513 FL Primary
Nuclear Medicine Physician 207U00000X C1-0008257 DE

Addresses

Primary practice location

3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214

Mailing address

PO Box 102222
Attn: Credentialing Dept
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other identifiers 1

IdentifierTypeStateIssuer
281368800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000634 FL Practitioner - Diagnostic Radiology 2860550373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

100 Highland Ave N
Largo, FL 33770-2542
Phone (727) 683-2900

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone (239) 772-3544

1037 S State Rd 7
303 Florida Cancer Specialists P L
Wellington, FL 33414-6140
Phone (561) 366-4100

1100 Goodlette Rd N
Research Institute LLC
Naples, FL 34102-5451
Phone (239) 424-0656

1309 N Flagler Dr
Florida Cancer Specialists PL
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

1396 Whisper Cir
Sebring, FL 33870-1204
Phone (863) 385-1244

161 E Nine Mile Rd
Suite 100
Pensacola, FL 32534-3140
Phone (850) 201-2422

22395 Edgewater Dr
Florida Cancer Specialists P L
Port Charlotte, FL 33980-2012
Phone (941) 766-7222

2351 Phillips Rd
Tallahassee, FL 32308-5333
Phone (850) 877-8166

2848 Ctr Pointe Dr
FL 1
Fort Myers, FL 33916-9521
Phone (239) 561-9622

2890 Ctr Pointe Dr
Fort Myers, FL 33916-9521

2895 Hueland Pond Blvd
Suite 100
Wesley Chapel, FL 33543-7504
Phone (813) 279-7107

3401 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2824
Phone (561) 366-4100

3630 Manatee Ave W
Bradenton, FL 34205-2557
Phone (941) 792-1881

3730 7TH Ter
Suite 101
Vero Beach, FL 32960-6556
Phone (772) 567-2332

3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400

40215 Hwy 27
Davenport, FL 33837-7813
Phone (863) 421-9705

4689 US Hwy 17
Suite 2 5
Fleming Island, FL 32003-4831
Phone (904) 269-6526

4724 N Davis Hwy
Suite 100
Pensacola, FL 32503-2339
Phone (850) 201-2421

4945 SW 49TH PL
Ocala, FL 34474-9673
Phone (352) 237-9430

521 N Lecanto Hwy
Florida Cancer Specialists PL
Lecanto, FL 34461-9187
Phone (352) 746-0707

5500 Pinebrook Rd
Suite 202
North Venice, FL 34275-3678
Phone (941) 408-0500

5767 49TH St N
Florida Cancer Specialists P L
St Petersburg, FL 33709-2107
Phone (727) 522-0558

5985 Silver Falls Run
Suite 200
Bradenton, FL 34211-1291
Phone (941) 907-4737

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0008257DEMDNuclear Medicine Physician
ME 101513FLMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Nov 23, 2016 Accepting new patients
Radiology Regional Center Professional Services LLC CurrentSince Apr 1, 2015 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

1615 Pasadena Ave S
Ste 400
South Pasadena, FL 33707
Phone (727) 341-1316

1201 5th Ave N
Ste 505
St Petersburg, FL 33705
Phone (727) 821-0017

3402 W Mlk Blvd
Tampa, FL 33607
Phone (813) 875-3950

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1992913941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076214",
            "telephone_number": "813-875-3950",
            "fax_number": "813-872-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWICH",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME 101513",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "DE",
            "license": "C1-0008257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281368800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.