DR. JAN PAUL GOLDBERG (NPI# 1104204114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104204114 |
| Entity Type | Individual |
| Full Name | DR. JAN PAUL GOLDBERG |
| Other Name | DR. JP GOLDBERG |
| Credential | MD |
| Practice Address |
816 Acoma Street Unit 1113 Denver CO 80204-4068 |
| Practice Telephone | 3039124900 |
| Mailing Telephone | 3039124900 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21715 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO LICENSE | 21715 | 01 |
| CO | COLORADO STATE LICENSE | 21715 | 01 |
| CO | 1217157 | 05 |
| Street Address |
816 ACOMA STREET UNIT 1113 |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632239 | Iora Health Colorado, P.C. | Internal Medicine | 730 S Federal Blvd, Denver, CO 80219 | 2020-06-03 |
| 1427602689 | La Beaute Aesthetics Medicine | Internal Medicine | 4433 W 29th Ave, Denver, CO 80212-3032 | 2019-07-26 |
| 1649786716 | Vip Healthcare, Pllc | Internal Medicine | 294 Highway 16 N, Suite C, Denver, NC 28037 | 2017-12-27 |
| 1942735774 | Shabnam Khoie | Internal Medicine | 835 E 18th Ave, Denver, CO 80218-1024 | 2017-04-30 |
| 1982067369 | Diana Leni Whitney | Internal Medicine | 4007 W Colfax Ave, Denver, CO 80204 | 2016-04-01 |
| 1083001093 | Michael Frank | Internal Medicine | 301 W 6th Ave # G, Denver, CO 80204 | 2015-04-17 |
| 1053714584 | Pro Health One Inc | Internal Medicine | 8181 E Tufts Ave Ste 560, Denver, CO 80237-2559 | 2014-09-29 |
| 1215348222 | Sara Vatan | Internal Medicine | 5800 E Evans Ave Ste 101, Denver, CO 80222-5320 | 2014-05-13 |
| 1588074702 | Rabia Salman Akhtar | Internal Medicine | 850 E Harvard Ave Ste 305, Denver, CO 80210-5076 | 2014-04-28 |
| 1124447131 | Andrew James Faber | Internal Medicine | 1375 E 19th Ave Ofc Room4366, Denver, CO 80218 | 2014-04-08 |
| Find all providers in DENVER | ||||
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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.