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SANDRA BETH GOODMAN M.D. NPI 1679568703


NPI Information

NPI: 1679568703
Provider Name: SANDRA BETH GOODMAN, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

Organization: THE REPRODUCTIVE MEDICINE GROUP

PECOS Registration: Yes

Address:
5245 E FLETCHER AVE
SUITE 1
TAMPA, FL
ZIP 33617
Phone: (813) 914-7304
Get Directions

Sandra Beth Goodman, M.D. is a reproductive endocrinology obstetrics gynecology in Tampa, FL with 37 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Sandra Beth Goodman, M.D. NPI is 1679568703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5245 E FLETCHER AVE
SUITE 1
TAMPA, FL
ZIP 33617-126
Phone: (813) 914-7304
Fax: (813) 676-8812

The NPI 1679568703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 10/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive Endocrinology60592MASSACHUSETTSNo
2207VE0102XObstetrics & GynecologyReproductive Endocrinology19268DISTRICT OF COLUMBIANo
3207VE0102XObstetrics & GynecologyReproductive EndocrinologyD42657MARYLANDNo
4207VE0102XObstetrics & GynecologyReproductive Endocrinology51258VIRGINIANo
5207VE0102XObstetrics & GynecologyReproductive EndocrinologyME79728FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149691ZMEDICARE PINFLORIDA
20079728MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3F40589MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.