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KELLER & GOODMAN MD, PA
NPI 1225168701
Internal Medicine - Gastroenterology in Tavares, FL

Active since March 06, 2007CLIA 10D2057102 · Certificate of Compliance
1879 NIGHTINGALE LN, SUITE C-2, TAVARES, FL 32778(352) 742-7776(352) 742-7750 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keller & Goodman Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLER & GOODMAN MD, PA (NPI 1225168701) is a healthcare organization registered as a gastroenterology in Tavares, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 27, 2027 and lists Jeffrey Alan Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1225168701
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameKELLER & GOODMAN MD, PA
Location Address1879 NIGHTINGALE LN, SUITE C-2Tavares, FL 32778-4363
Mailing Address1879 Nightingale Ln, Suite C-2Tavares, FL 32778-4363 · (352) 742-7776 · Fax (352) 742-7750
Phone(352) 742-7776
Fax(352) 742-7750
Organization SubpartNo
Authorized OfficialJeffrey Alan GoodmanOwner · (352) 742-7776
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2008
✔ NPI 1225168701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME66294
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1879 NIGHTINGALE LN, Tavares, FL 32778
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Other Identifiers 3

Medicare PIN33071FL
Medicaid375405700FL
Other25425Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2057102

Keller & Goodman MD PA · Tavares, FL
Active · expires Jun 27, 2027
CLIA Number10D2057102
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorChris Kechriotis
Laboratory Phone(352) 742-7776
Laboratory LocationKeller & Goodman MD PA1879 Nightingale Ln Ste C-2, Tavares, FL 32778
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CESAR ARMANDO UNYON M.D.
Internal Medicine
1879 NIGHTINGALE LN
TAVARES, FL 32778
Lake County (352) 343-5722
PLASTIC SURGERY CENTER OF LAKE COUNTY
Clinic/Center (Ambulatory Surgical)
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Lake County (352) 742-0079
ANDREA BRYCE ARNP
Nurse Practitioner
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778
Lake County (352) 742-1171
DR. PETER A. MARZEK M.D.
Plastic Surgery
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Lake County (352) 742-0079
THERESA ANN MILLS MD
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778
Lake County (352) 742-1171
OPEN MRI OF ORLANDO INC
Clinic/Center (Radiology)
1879 NIGHTINGALE LN, SUITE A-1
TAVARES, FL 32778
Lake County (352) 742-9211
BORYS A MASCARENHAS M.D.
Surgery
1879 NIGHTINGALE LN, STE B4
TAVARES, FL 32778
Lake County (352) 742-2286
DAVID F FERNANDEZ, MD, PA
Internal Medicine
1879 NIGHTINGALE LN, SUITE B1
TAVARES, FL 32778
Lake County (352) 343-5722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keller & Goodman MD, PA's NPI number?

The NPI number for Keller & Goodman MD, PA is 1225168701. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Keller & Goodman MD, PA located?

Keller & Goodman MD, PA is located at 1879 Nightingale Ln Suite C-2, Tavares, FL 32778. The listed phone number is (352) 742-7776.

What is Keller & Goodman MD, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Keller & Goodman MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2057102) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keller & Goodman MD, PA was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.