DR. IRVIN FARREL GOLDENBERG (NPI# 1235241787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235241787 |
Entity Type | Individual |
Full Name | DR. IRVIN FARREL GOLDENBERG |
Credential | MD |
Practice Address |
3640 Zenith Ave S Minneapolis MN 55410-1165 |
Practice Telephone | 6129202252 |
Practice Fax Number | 6129244148 |
Mailing Telephone | 6129202252 |
Mailing Fax Number | 6129244148 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2010-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 28272 | MN | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
28272 | MN | Allopathic & Osteopathic Physicians |
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
28272 | MN | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
28272 | MN | Allopathic & Osteopathic Physicians |
Street Address |
3640 ZENITH AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55410-1165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
1396926077 | Julie Anne Hurtuhise | Occupational Therapist | 4516 Zenith Ave S, Minneapolis, MN 55410 | 2007-11-21 |
1063534634 | Pat Brendon Obrien | Chiropractor | 5049 France Ave S, Minneapolis, MN 55410 | 2007-04-04 |
1144322272 | Ted Marvin Beeman | Dentist | 2306 W 50th St, Minneapolis, MN 55410 | 2006-09-01 |
1306840848 | Rhondi L Miller | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2005-06-13 |
1063935732 | Caryn Herrick | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2017-07-25 |
1578858643 | David A. Cook, Dds, Pa | Dentist | 4999 France Ave S, Suite 230, Minneapolis, MN 55410 | 2011-06-16 |
1457682395 | Katrina Koller | Massage Therapist | 4049 Abbott Ave S, Minneapolis, MN 55410-1002 | 2010-01-15 |
1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
1578824330 | Stephens Psychological Services | Psychologist | 3829 Washburn Ave S, Minneapolis, MN 55410-1129 | 2012-06-07 |
Find all providers in zip 55410 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
1578521555 | Michael Jon Manoles | Internal Medicine | 516 Delaware St Se, Pwb, Clinic 3b, Cardiovascular Center, Minneapolis, MN 55455-0356 | 2006-05-01 |
1023384211 | Brett Oestreich | Internal Medicine | 420 Delaware St Se, Mmc 508, Minneapolis, MN 55455-0341 | 2012-04-01 |
1528078458 | Anil K Poulose | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-08-09 |
1619931847 | Michael R Mooney | Internal Medicine | 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 2006-04-14 |
1265418420 | Ganeshan Raveendran | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710962188 | Mark W Erhard | Internal Medicine | 1560 Beam Ave, Suite B, Maplewood, MN 55109-1191 | 2005-12-08 |
1275081812 | Claire Erinee Raphael | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-09-12 |
1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
1194014712 | Stephen Alexander George | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-04-05 |
1912223603 | Rory Farnan | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-04-20 |
1558599712 | Marat Yanavitski | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2009-06-26 |
1841436383 | Marit Elise Thorsgard | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2009-01-06 |
1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
1477715530 | Leif C Christianson | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2008-06-30 |
1760657589 | R Todd Drexel | Internal Medicine | 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568 | 2008-04-23 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55410 |
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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.