JEFFREY ALAN GOLDBERG (NPI# 1790946531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790946531 |
Entity Type | Individual |
Full Name | JEFFREY ALAN GOLDBERG |
Credential | M.D. |
Practice Address |
8425 E 12 Mile Rd Suite#112 Warren MI 48093-2738 |
Practice Telephone | 5865742692 |
Mailing Telephone | 5865742692 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2008-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
407472 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295189256 | Jeffrey Goldberg | Occupational Therapist | 3475 Greystone Ave, Apt 6a, Bronx, NY 10463-2238 | 2016-04-15 |
1336229178 | Jeffrey E Goldberg | Otolaryngology | 4245 Johns Creek Pkwy., Suite D, Suwanee, GA 30024 | 2006-10-16 |
1346856465 | Jeffrey M Goldberg | Social Worker | 3355 Saint Johns Ln Ste J, Ellicott City, MD 21042-2600 | 2020-09-23 |
1720355605 | Jeffrey Edward Goldberg | Pharmacist | 1525 W Park Ave, Anaconda, MT 59711-1829 | 2011-11-21 |
1659690469 | Jeffrey Harris Goldberg | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2010-05-19 |
1003048455 | Jeffrey Alan Goldberg | Dentist | 315 N Elm St, High Point, NC 27262-4936 | 2009-08-19 |
1417158114 | Jeffrey Louis Goldberg | Ophthalmology | 9415 Campus Point Dr, Shiley Eye Center, La Jolla, CA 92093-0946 | 2007-05-30 |
1669542767 | Jeffrey Ward Goldberg | Technician/Technologist | 1033 Green Acres Mall, Valley Stream, NY 11581-1531 | 2006-11-08 |
1902914435 | Jeffrey Goldberg | Psychiatry & Neurology | 5025 Fort Hamilton Pkwy, Brooklyn, NY 11219-3325 | 2006-08-25 |
1093723983 | Jeffrey R Goldberg | Family Medicine | 25 Collins Road, Bristol, CT 06010 | 2006-08-04 |
Street Address |
8425 E 12 MILE RD SUITE#112 |
City | WARREN |
State | MI |
Zip Code | 48093-2738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
Find all providers in zip 48093 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760847651 | Sudad Louis Md Pllc | Psychiatry & Neurology | 31500 Dequindre Rd Ste 500, Warren, MI 48092-1057 | 2015-12-21 |
1295993640 | Herman Grishaver | Psychiatry & Neurology | 12 Crescent Park, Warren, PA 16365-2217 | 2008-05-31 |
1467525675 | Macomb Neurology Associates PC | Psychiatry & Neurology | 27427 Schoenherr, Ste 100, Warren, MI 48088 | 2006-11-16 |
1053495671 | Auburn Neurology Associates PC | Psychiatry & Neurology | 27101 Schoenherr Ave, Ste 200, Warren, MI 48088-4730 | 2006-10-24 |
1083680235 | Narayan P Verma | Psychiatry & Neurology | 31150 Hoover Rd Ste B, Ste B, Warren, MI 48093-7618 | 2006-02-27 |
1104898493 | Holly J Maggiano | Psychiatry & Neurology | 8828 East Market St., Warren, OH 44484 | 2006-02-02 |
1760782239 | Holly J Maggiano Md Inc | Psychiatry & Neurology | 983 Niles Cortland Rd Se, Warren, OH 44484-2555 | 2010-10-29 |
1417115809 | Abelardo G Contreras Md PC | Psychiatry & Neurology | 29135 Ryan Road, Suite B, Warren, MI 48092-4279 | 2008-06-02 |
1316117310 | David Lustig Do PC | Psychiatry & Neurology | 13355 E 10 Mile Rd, 224, Warren, MI 48089-2048 | 2008-03-05 |
1346229929 | Antonio Gonzalez | Psychiatry & Neurology | 8098 E Market St, Warren, OH 44484-2270 | 2006-01-12 |
Find all providers in WARREN |
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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.