STEVEN M GOLDBERG (NPI# 1992780795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992780795 |
| Entity Type | Individual |
| Full Name | STEVEN M GOLDBERG |
| Credential | PAAA |
| Practice Address |
780 Canton Road Suite 100 Marietta GA 30060-7259 |
| Mailing Address |
3155 N Point Pkwy Attn: Credentialing Dept., Building F, Suite 100 Alpharetta GA 30005 |
| Practice Telephone | 6785740943 |
| Practice Fax Number | 6785740943 |
| Mailing Telephone | 7706459181 |
| Mailing Fax Number | 7706458455 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 2692 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095353 | Steven R Goldberg | Dentist | 1016 Beverly Heights Dr, Augusta, GA 30907 | 2006-12-04 |
| 1871681346 | Steven Marc Goldberg | Optometrist | 14314 Cobble Ct, Chesterfield, MO 63017-2823 | 2006-10-10 |
| 1568556116 | Steven L Goldberg | Chiropractor | 7370 Hodgson Memorial Dr., Suite E3, Savannah, GA 31406 | 2006-10-03 |
| 1740383280 | Steven Joel Goldberg | Dentist | One Pondfield Road West, Suite 3, Bronxville, NY 10708-2666 | 2006-09-07 |
| 1013028661 | Steven David Goldberg | Marriage & Family Therapist | 481 Gold Star Highway, Suite 301, Groton, CT 06340 | 2006-08-31 |
| 1851323422 | Steven Goldberg | Social Worker | 610 Victory Blvd, 5k, Staten Island, NY 10301-3502 | 2006-07-06 |
| 1316907595 | Steven P. Goldberg | Legal Medicine | 3085 N Swan Rd, Tucson, AZ 85712-1259 | 2006-03-23 |
| 1316937725 | Steven E Goldberg | Internal Medicine | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2005-10-26 |
| 1518963776 | Steven L Goldberg | Dentist | 14 Route 520, Englishtown, NJ 07726-8217 | 2005-06-22 |
| 1205839255 | Steven M Goldberg | Internal Medicine | 1010 Northern Blvd, Ste 110, Great Neck, NY 11021-5306 | 2005-05-23 |
| Street Address |
780 CANTON ROAD SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418489 | Ambulatory Anesthesia of Atlanta, P C | Anesthesiology | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-09-22 |
| 1255516019 | Marat L Reyzelman | Psychiatry & Neurology | 780 Canton Road, Ste 400, Marietta, GA 30060 | 2007-12-29 |
| 1427027960 | Valentina Ketlie Casimir | Nurse Anesthetist, Certified Registered | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2006-03-16 |
| 1124015052 | James E. Warren | Anesthesiology | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-10-05 |
| 1275520025 | Sherri M. Rutledge | Nurse Anesthetist, Certified Registered | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-10-05 |
| 1184611931 | Sheila F. Sumpter | Nurse Anesthetist, Certified Registered | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-10-05 |
| 1053308890 | Melissa D. Russell | Nurse Anesthetist, Certified Registered | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
| 1346638616 | Sowjanya Thalanki Krishna Murthy | Anesthesiologist Assistant | 3440 River Heights Xing Se, Marietta, GA 30067-4500 | 2015-01-08 |
| 1437417250 | Vivian To | Anesthesiologist Assistant | 2204 Whitehall Dr Ne, Marietta, GA 30066-7202 | 2012-04-30 |
| 1053507129 | Adrianne Humphries | Anesthesiologist Assistant | 531 Roselane St Nw Ste 750, Marietta, GA 30060-6975 | 2007-09-21 |
| 1295818250 | Fleet Lester | Anesthesiologist Assistant | 1288 Sweet Bottom Ct Sw, Sw, Marietta, GA 30064-5222 | 2006-10-23 |
| 1730195348 | Thang Thai | Anesthesiologist Assistant | 531 Roselane Street Nw, Suite 750, Marietta, GA 30060-6975 | 2006-08-01 |
| 1346868908 | Megan Grace Zimmerman | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-07-10 |
| 1578180535 | Devon Potler-jack | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-06-25 |
| 1740802032 | Noelle Shaw | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-05-11 |
| 1417506304 | Jake Lane | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-09-04 |
| Find all providers in MARIETTA | ||||
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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.