MELVYN RALPH GOLDBERG (NPI# 1821112574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821112574 |
| Entity Type | Individual |
| Full Name | MELVYN RALPH GOLDBERG |
| Credential | MD |
| Practice Address |
1225 Graham Rd Florissant MO 63031-8014 |
| Mailing Address |
75 Remit Drive Lockbox 6804 Chicago IL 60675-6804 |
| Practice Telephone | 3145251900 |
| Practice Fax Number | 3145254868 |
| Mailing Telephone | 8669165259 |
| Mailing Fax Number | 2319224030 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
R6864 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790706588 | Melvyn Goldberg | Specialist | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2006-07-21 |
| Street Address |
1225 GRAHAM RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431399 | Antonio R Penilla | Internal Medicine | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2005-07-20 |
| 1912549452 | Erica Frazier | Social Worker | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-16 |
| 1275174088 | Pamela Wooten | Registered Nurse | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-02 |
| 1700357647 | John A Powers | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2018-12-17 |
| 1922454719 | Jenna O'shea | Nurse Practitioner | 1225 Graham Rd, Ste 1340c, Florissant, MO 63031-8012 | 2016-05-11 |
| 1093135980 | Daniel Zwilling | Physician Assistant | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-04-18 |
| 1356769012 | Lindsay Riedl Jaeger | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-31 |
| 1942627823 | Kathryn A Spectorsky | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-27 |
| 1124459730 | Javda Miasha Wilson | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-12-06 |
| 1013358100 | Laura M Gramolino | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992859433 | Cora Orphe-harris | Emergency Medicine | St Anthony's Medical Center, 10010 Kennerly Rd, St. Louis, MO 63128 | 2007-01-22 |
| 1689602781 | Julie R Ferguson | Emergency Medicine | 1465 S. Grand Blvd, St. Louis, MO 63104 | 2006-06-28 |
| 1457871006 | Timothy Andrew Wilson | Emergency Medicine | 1 Childrens Pl, Dept Emergency Medicine, Saint Louis, MO 63110-1002 | 2017-06-25 |
| 1497190854 | Michel John Adonis | Emergency Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2013-04-29 |
| 1912340910 | Kristen Lee Pontiff | Emergency Medicine | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-10 |
| 1508125295 | Neal Russell Hartman | Emergency Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-05-15 |
| 1326324609 | Jaya Goswami | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-10-31 |
| 1740577105 | Erin Marie Hall | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-07-06 |
| 1942596374 | Nathaniel T Weberding | Emergency Medicine | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-06-23 |
| 1720309016 | Philip Mulayara Abraham | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-06-21 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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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.