STACY GOLDBERG (NPI# 1235468927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235468927 |
| Entity Type | Individual |
| Full Name | STACY GOLDBERG |
| Credential | MPH, RN, BSN |
| Practice Address |
1627 W Big Beaver Rd Troy MI 48084-3501 |
| Mailing Address |
Po Box 250042 West Bloomfield MI 48325-0042 |
| Practice Telephone | 2485632920 |
| Mailing Telephone | 2485632920 |
| Mailing Fax Number | 2488622022 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
4704212928 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609177203 | Stacy Goldberg | Speech-Language Pathologist | 170 Mill St, Gahanna, OH 43230-3036 | 2010-11-12 |
| 1740395151 | Stacy Hope Goldberg | Physical Therapist | 1959 Ne Pacific St, Box 356490, Seattle, WA 98195-6490 | 2006-08-19 |
| Street Address |
1627 W BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48084-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995616 | Lori A Washe | Family Medicine | 1627 W Big Beaver Rd, Troy, MI 48084-3501 | 2005-07-14 |
| 1134765811 | Premier Private Physicians, Plc | Family Medicine | 1627 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-11-18 |
| 1104462886 | Salta of Troy, Pllc | Family Medicine | 1627 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-11-18 |
| 1336785005 | Salta of Clarkston, Pllc | Family Medicine | 1627 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-11-18 |
| 1083613871 | John A Blanchard | Family Medicine | 1627 W Big Beaver Rd, Troy, MI 48084-3501 | 2005-07-14 |
| 1821096629 | Keith W Christmon | Family Medicine | 1627 W Big Beaver Rd, Troy, MI 48084-3501 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 163WN1003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nutrition Support |
| Definition to come... |
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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.