MICHAEL CHARLES GOLDBACH


Address: 2809 W Waters Ave, Tampa, FL 33614-1852
Phone: 8133489088

MICHAEL CHARLES GOLDBACH (NPI# 1225359904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225359904
Entity Type Individual
Full Name MICHAEL CHARLES GOLDBACH
Credential M.D.
Practice Address 2809 W Waters Ave
Tampa
FL 33614-1852
Practice Telephone 8133489088
Mailing Telephone 8133489088
Enumeration Date 2010-06-17
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
ME125075 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program TRN15004 FL Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 Madison Ave, Suite 1031, Memphis, TN 381033403 9014485500

Office Location

Street Address 2809 W WATERS AVE
City TAMPA
State FL
Zip Code 33614-1852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790771970 Thomas M. Kerr Md Pa Surgery 2809 W Waters Ave, Tampa, FL 33614-1852 2005-09-23
1336471986 Holly-ann Kerr Nurse Practitioner 2809 W Waters Ave, Tampa, FL 33614-1852 2010-02-08
1376744979 Adithya Suresh Surgery 2809 W Waters Ave, Tampa, FL 33614-1852 2007-05-30
1770674731 John J. Carthy M.d. P.a. Family Medicine 2809 W Waters Ave, Tampa, FL 33614-1852 2006-09-27
1568410579 Kenneth J Wright Surgery 2809 W Waters Ave, Tampa, FL 33614-1852 2006-05-04
1164419875 Marlene Valentin Radiology 2809 W Waters Ave, Tampa, FL 33614-1852 2005-09-29
1467448480 Thomas Kerr Radiology 2809 W Waters Ave, Tampa, FL 33614-1852 2005-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134733082 Robin Rollena Stewart Home Health 9537 Lazy Lane, Apt 302, Tampa, FL 33614 2020-09-08
1346885761 David Joseph Page Nurse Practitioner St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 2019-11-08
1134687411 Ramon Chang Adult Family Care Home LLC Custodial Care Facility 2607 W Humphrey St, Tampa, FL 33614 2019-03-06
1134600612 Senior Point Assisted Living Facility, LLC Assisted Living Facility 2940 W Hillsborough Ave, Tampa, FL 33614 2018-08-23
1306361266 Larry Valdes Assisted Living Facility 4402 W Minnehaha St, Tampa, FL 33614 2017-08-11
1982128062 Jaime F Casellas Md Corp Internal Medicine 4600 N Habana Ave Suit #13, Tampa, FL 33614 2017-07-31
1891219119 Waveney Gittens-williams Alzheimer Center (Dementia Center) 3706 W. Idle Wild Cir #203, Tampa, FL 33614 2017-07-28
1750811857 Syerita Nicole Morris Counselor 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 2017-06-13
1447786124 Lisa Moy Case Manager/Care Coordinator 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 2017-05-02
1750813804 Joshua Martin Good Physical Therapy Assistant 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 2017-03-29
Find all providers in zip 33614

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528484516 Rolando Sanchez Surgery 4039 W Kennedy Blvd, Tampa, FL 33609-2751 2014-03-14
1447542840 James D Brooks Surgery 13000 Bruce B Downs Blvd Rm 7a-708b, Tampa, FL 33612-4745 2011-05-04
1558507582 Choice Health Care, Inc. Surgery 1881 W Kennedy Blvd, Suite A & B, Tampa, FL 33606-1611 2008-12-22
1942238837 George K James Surgery 4513 N Armenia Ave, Tampa, FL 33603-2703 2006-06-29
1932174349 Rozales Antonio Swanson Surgery 3000 E Fletcher Ave Ste 320, Tampa, FL 33613-4645 2006-02-20
1790771970 Thomas M. Kerr Md Pa Surgery 2809 W Waters Ave, Tampa, FL 33614-1852 2005-09-23
1982141222 Advanced Vein Care, Inc. Surgery 1921 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6509 2017-01-25
1528492287 Greater Tampa Bay Physician Specialists, LLC Surgery 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 2013-08-29
1104168871 Erin Kelly Green Baldwin Surgery 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 2013-03-20
1023335601 Gavin R Davis Surgery 1 Tampa General Cir, J402, Tampa, FL 33606-3571 2010-04-22
Find all providers in TAMPA

Competitor

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City TAMPA
Zip Code 33614

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Dataset Information

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.

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