ROSS FREDERICK GOLDBERG (NPI# 1104932045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104932045 |
| Entity Type | Individual |
| Full Name | ROSS FREDERICK GOLDBERG |
| Credential | MD |
| Practice Address |
2601 E Roosevelt St Department of Surgery Phoenix AZ 85008-4973 |
| Practice Telephone | 6023445611 |
| Mailing Telephone | 6023445611 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 45917 | AZ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME 108504 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD435576 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003182801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497104392 | Ross Evan Goldberg | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2016-06-10 |
| 1861554735 | Ross Terry Goldberg | Radiology | 2730 Wilshire Blvd, #110, Santa Monica, CA 90403-4743 | 2006-12-15 |
| Street Address |
2601 E ROOSEVELT ST DEPARTMENT OF SURGERY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1881293165 | Christina Wellman | Registered Nurse | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-10-19 |
| 1639786544 | Lindsey Tow | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-09-24 |
| 1003424102 | Susannamma Lijan | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-07-15 |
| 1184241705 | Katharine Witham | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-30 |
| 1417574435 | Vishal Ravella | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 | 2020-06-26 |
| 1841814894 | Anthony Howard Arnett | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-05 |
| 1053932277 | Bhavesh Shukla | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-28 |
| 1659991016 | Luis Francisco Meza | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-25 |
| 1396365839 | Nicholas Donahue Winter | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144746033 | Az Surgical Solutions | Surgery | 3724 N 3rd St Ste 302, Phoenix, AZ 85012-2034 | 2017-08-22 |
| 1184072894 | Eugene L De La Cruz Dpm PC | Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-06-03 |
| 1164821112 | Arizona Surgical Associates, Plc | Surgery | 9305 W Thomas Rd Ste 480, Phoenix, AZ 85037-3375 | 2014-08-15 |
| 1639443096 | Joseph Patrick Kennelly | Surgery | 5941 E Lafayette Blvd, Phoenix, AZ 85018-4660 | 2012-03-02 |
| 1285927574 | Para Surgical Specialists, Pllc | Surgery | 9515 W. Camelback Rd, Suite 132, Phoenix, AZ 85037-0000 | 2011-05-19 |
| 1427347665 | Morley Rosenfield | Surgery | 3039 E Marshall Ave, Phoenix, AZ 85016-3713 | 2011-03-28 |
| 1962705889 | Richard Lance Chilian | Surgery | 2539 West Bloch Road, Phoenix, AZ 85041-2908 | 2010-12-15 |
| 1205140027 | Tracy Lynn Freeborn | Surgery | 9250 W Thomas Rd Ste 250, Phoenix, AZ 85037 | 2010-08-04 |
| 1407176126 | Martin E. Zipser | Surgery | 7320 N Dreamy Draw Dr, Phoenix, AZ 85020-5212 | 2010-06-03 |
| 1649413089 | Kaavya Reddy Matatova | Surgery | 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | 2009-04-15 |
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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.