SAMUEL GOLDBERG (NPI# 1093817983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093817983 |
Entity Type | Individual |
Full Name | SAMUEL GOLDBERG |
Credential | MD |
Practice Address |
10451 Twin Rivers Rd Columbia MD 21044-2388 |
Mailing Address |
4623 Falls Rd Baltimore MD 21209-4914 |
Practice Telephone | 4109973557 |
Practice Fax Number | 4109641791 |
Mailing Telephone | 4103661980 |
Mailing Fax Number | 4103668530 |
Enumeration Date | 2006-09-02 |
Last Update Date | 2008-10-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
M17939 | MD | Allopathic & Osteopathic Physicians |
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
D0024347 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | AMERIHEALTH | 2143757000 | 01 |
MD | CAREFIRST BCBS - DC | T541-0032 | 01 |
MD | MAMSI | 347492 | 01 |
MD | AETNA | 4281365 | 01 |
MD | MAGELLAN | 034197-000 | 01 |
MD | 400491400 | 05 | |
MD | CAREFIRST | T541-0032 | 01 |
MD | KAISER | 115468 | 01 |
MD | APS HEALTHCARE | PVPB129834 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407013618 | Samuel Goldberg | General Practice | 36 Wareham Ct, Scotch Plains, NJ 07076-3138 | 2008-05-16 |
1194793869 | Samuel Goldberg | Urology | 2600 E Southern, J 1, Tempe, AZ 85282 | 2006-03-09 |
1821072653 | Samuel Goldberg | Pediatrics | 260 Hospital Dr, Ukiah, CA 95482-4533 | 2005-12-05 |
1386649655 | Samuel D. Goldberg | Internal Medicine | 6410 Rockledge Dr, Ste 200, Bethesda, MD 20817-1830 | 2005-06-14 |
Street Address |
10451 TWIN RIVERS RD |
City | COLUMBIA |
State | MD |
Zip Code | 21044-2388 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962427963 | Ilene S Gallner-toller | Social Worker | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2006-07-12 |
1134557275 | Family and Childrens Services of Central Maryland Inc | Counselor | 10451 Twin Rivers Rd, #100, Columbia, MD 21044-2388 | 2013-10-29 |
1518276450 | Rebecca Grad | Social Worker | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2010-09-27 |
1417260597 | Lori Jenner | Counselor | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2010-07-19 |
1649597873 | Kelly E Hukmani | Social Worker | 10451 Twin Rivers Rd, Suite 100, Columbia, MD 21044-2388 | 2010-04-28 |
1932423134 | Mary Valerie Klosek | Social Worker | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2010-03-17 |
1700114774 | Kristina R Smith | Social Worker | 10451 Twin Rivers Rd, Suite 400, Columbia, MD 21044-2388 | 2009-12-02 |
1639402480 | Bestcare Home Health Services, Inc | Home Health | 10451 Twin Rivers Rd, Suite 234, Columbia, MD 21044-2388 | 2009-09-11 |
1023205382 | Connie Angiuli | Social Worker | 10451 Twin Rivers Rd, Suite 100, Columbia, MD 21044-2388 | 2007-10-01 |
1992904965 | Becky Fischbein | Social Worker | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2007-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
Find all providers in zip 21044 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790700300 | Humanim Inpatient and Outpatient | Psychiatry & Neurology | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2006-07-13 |
1699705996 | Arti Parwani | Psychiatry & Neurology | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588701023 | Tanya J. Lehky | Psychiatry & Neurology | 10 Center Drive Nih, Building 10, Crc, Room 7-5680, Bethesda, MD 20892-0001 | 2007-02-01 |
1003978040 | Margaret Adams | Psychiatry & Neurology | 8388 Court Ave Ste 203, Ellicott City, MD 21043-4514 | 2006-12-15 |
1144395393 | Neuromonitoring Physicians, LLC | Psychiatry & Neurology | 9115 Kendale Rd, Potomac, MD 20854-4512 | 2006-11-22 |
1740393628 | Robert Joseph Hedaya | Psychiatry & Neurology | 7717 Oldchester Rd, Bethesda, MD 20817-6277 | 2006-08-16 |
1902880560 | Samina Anwar | Psychiatry & Neurology | 235 Mill St, Suite 1, Hagerstown, MD 21740-6114 | 2005-12-06 |
1518293695 | Joon-yi Kang | Psychiatry & Neurology | 600 N Wolfe St, Meyer 2-147, Baltimore, MD 21287-0005 | 2009-10-26 |
1336383835 | Lanham Neuro Science Center LLC | Psychiatry & Neurology | 9801 Greenbelt Rd, Suite 101, Lanham, MD 20706-2273 | 2009-04-28 |
1225276702 | The Good Samaritan Hospital of Maryland, Inc. | Psychiatry & Neurology | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-01-22 |
1174788137 | Family & Children's Services of Central Md | Psychiatry & Neurology | 4623 Falls Rd, Baltimore, MD 21209-4914 | 2008-07-18 |
1912166430 | Advanced Neurology and Sleep Center of Frederick | Psychiatry & Neurology | 174 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4423 | 2008-06-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.