Goodside Health Medical, Pllc

LBN: Goodside Health Medical, Pllc
Goodside Health Medical, Pllc is an health care organization with primary practice located at 209 Fayetteville St Ste 1-C , Raleigh NC 27601-1309. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Goodside Health Medical, Pllc can be contacted via phone (512) 884-5190, or through Reyes, Gerardo via phone (512) 884-5190.

Contact Information

Primary practice address
209 Fayetteville St Ste 1-C Raleigh NC 27601-1309
Phone: (512) 884-5190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Gerardo Doctor of Medicine (MD)
Phone: (512) 884-5190

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1386496636
LBN Legal business name Goodside Health Medical, Pllc
DBA Doing business as
Authorized official Reyes, Gerardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2024
Last updated Apr 2nd, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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