DR. DEBORAH ANN GOLDMAN (NPI# 1801828785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801828785 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH ANN GOLDMAN |
| Credential | M.D. |
| Practice Address |
720 Irving Ave, Suite 504 Upstate Medical University Syracuse NY 13210 |
| Mailing Address |
725 Irving Ave Ste 504 Upstate Medical University Syracuse NY 13210-1683 |
| Practice Telephone | 3154648444 |
| Practice Fax Number | 3154648445 |
| Mailing Telephone | 3154648444 |
| Mailing Fax Number | 3154648445 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 34001 | MN | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
242583 | NY | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
34001 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0052207 | 05 | |
| MN | BCBS | 01T97GR | 01 |
| MN | PREFERRED ONE | 1000791 | 01 |
| MN | MEDICA PRIMARY | 29-72575 | 01 |
| ND | 10387 | 05 | |
| SD | 7777470 | 05 | |
| MN | UCARE | 105091 | 01 |
| MN | ARAZ | 644605 | 01 |
| WI | 31989400 | 05 | |
| MN | MEDICA CHOICE | 29-13389 | 01 |
| NY | 03613141 | 05 | |
| MN | 546518400 | 05 | |
| MN | HEALTHPARTNERS | HP21981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568401859 | Deborah Goldman | Optometrist | 2205 S State Road 7, Suite 400, Wellington, FL 33414-9342 | 2006-06-05 |
| 1942275888 | Deborah K Goldman | Pediatrics | 3900 Washington Ave, Ste 100a, Evansville, IN 47714-0550 | 2006-02-22 |
| 1750774071 | Deborah Goldman | Occupational Therapist | 1026 Cromwell Bridge Rd, Towson, MD 21286-3318 | 2015-03-11 |
| 1730412925 | Deborah Sue Goldman | Physical Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2009-09-07 |
| 1902927445 | Deborah Bryna Goldman | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-04-03 |
| 1518999192 | Deborah C. Goldman | Nurse Practitioner | 325 9th Ave, Box 359930, Seattle, WA 98104-2420 | 2006-07-06 |
| Street Address |
720 IRVING AVE, SUITE 504 UPSTATE MEDICAL UNIVERSITY |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386994 | Aamer Imdad | Pediatrics | 725 Irving Ave Suite 504, Syracuse, NY 13210 | 2011-07-25 |
| 1972775286 | Prateek Dhar Wali | Pediatrics | 725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603 | 2008-03-26 |
| 1891993218 | Marcus Richard Rivera | Pediatrics | 725 Irving Ave, Crouse Pob Ste. 805, Syracuse, NY 13210-1603 | 2007-07-06 |
| 1255351334 | Mirza Bedar Bakht Beg | Pediatrics | 725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603 | 2006-07-20 |
| 1639102296 | Manoochehr Karjoo | Pediatrics | 725 Irving Ave, Crouse Pob Ste. 805, Syracuse, NY 13210-1603 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346710977 | Ari J Bergwerk | Pediatrics | Apt #4b 305 Riverside Drive, New York, NY 10025 | 2018-11-27 |
| 1306227525 | Karine Amirikian | Pediatrics | 3415 Bainbridge Ave Fl 7, Bronx, NY 10467 | 2015-06-12 |
| 1407198120 | Elizabeth Anne Nofi Berg | Pediatrics | 622 W 168th St Ph 17, New York, NY 10032-3720 | 2013-03-20 |
| 1316289093 | Anastasia Rigas | Pediatrics | 18 Blueberry Ridge Rd, Setauket, NY 11733-1504 | 2013-03-20 |
| 1366700874 | Dominique Drummond Bailey | Pediatrics | 630 W. 168th Street - Chn 517, Columbia University Medical Center, New York, NY 10032 | 2012-05-03 |
| 1235404559 | Judy Rose Dayan | Pediatrics | 990 E 22nd St, Brooklyn, NY 11210-3610 | 2012-03-20 |
| 1982908786 | Eileen Mcvey | Pediatrics | 503 Grasslands Rd Ste 201, Valhalla, NY 10595-1593 | 2011-01-07 |
| 1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
| 1457546582 | Babu S Bangaru | Pediatrics | 9422 59th Ave, Elmhurst, NY 11373-5151 | 2007-09-12 |
| 1841499092 | Nikki Allmendinger | Pediatrics | 47 New Scotland Ave # Mc88, Albany Medical Center - The Children's Hospital, Albany, NY 12208-3412 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
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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.