DARRYL T GOLDBERG MD PC (NPI# 1528121803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528121803 |
| Entity Type | Organization |
| Organization Name | DARRYL T GOLDBERG MD PC |
| Practice Address |
27901 Woodward Ave Suite 200 Berkley MI 48072 |
| Practice Telephone | 2483982525 |
| Practice Fax Number | 2483989286 |
| Mailing Telephone | 2483982525 |
| Mailing Fax Number | 2483989286 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. JEFFREY C KALT (PHYSICIAN) |
| Authorized Official Telephone | 2483982525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
JK051524 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3117704 | 05 | |
| MI | BLUE CARE NETWORK | 180F375320 | 01 |
| MI | DETROIT MEDICAL CENTER | 4237942 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 101836 | 01 |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 180F375320 | 01 |
| Street Address |
27901 WOODWARD AVE SUITE 200 |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015191 | Jeffrey C Kalt | Ophthalmology | 27901 Woodward Ave, Ste 200, Berkley, MI 48072 | 2005-12-30 |
| 1508239104 | Abdulgadir Adam Md Pllc | Internal Medicine | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2015-11-04 |
| 1316319262 | Sanjay Dogra Md Pllc | Internal Medicine | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2015-10-30 |
| 1689075020 | Chanta L. Stanley | Registered Nurse | 27901 Woodward Ave, 300, Berkley, MI 48072-0919 | 2014-09-04 |
| 1093083743 | Lauren Elissa Taboh | Registered Nurse | 27901 Woodward Ave, Suite 220, Berkley, MI 48072-0919 | 2011-12-08 |
| 1487936456 | Tanya S Postwaite | Physician Assistant | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2011-09-15 |
| 1457539116 | Barak Tanzman | Surgery | 27901 Woodward Ave, Suite 100, Berkley, MI 48072-0919 | 2008-02-05 |
| 1790981413 | Chau Plastic Surgery PC | Plastic Surgery | 27901 Woodward Ave, Suite 100, Berkley, MI 48072-0919 | 2007-06-21 |
| 1982818738 | David M Nori | Internal Medicine | 27901 Woodward Ave, Suite 300, Berkley, MI 48072-0919 | 2007-05-10 |
| 1184837890 | Dr Richard L Grant P L C | Podiatrist | 27901 Woodward Ave, Suite 110, Berkley, MI 48072-0919 | 2007-05-08 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659326031 | Associated Retinal Consultants, PC | Technician/Technologist | 3535 W. 13 Mile Rd, 632, Royal Oak, MI 48073-6710 | 2006-05-23 |
| 1457914335 | El Valle Optical, Inc. | Technician/Technologist | 1940 Campbell St, Detroit, MI 48209-2125 | 2019-04-17 |
| 1104385780 | Laura Elizabeth Frisbie | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-03-13 |
| 1447727847 | Sarah Syeda | Technician/Technologist | 4717 Saint Antoine St, Detroit, MI 48201-1423 | 2018-10-24 |
| 1558458455 | Cukrowski Eye Center, PC | Technician/Technologist | 701 S Ballenger Hwy, Flint, MI 48532-3804 | 2006-10-10 |
Please comment or provide details below to improve the information on DARRYL T GOLDBERG MD PC.
| 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.