Michael S Goldman (NPI# 1003854985, PAC ID# 2668568825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003854985 |
| PAC ID by PECOS | 2668568825 |
| Professional Enrollment ID | I20071129000510 |
| Full Name | Michael S Goldman |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Address |
113 Westminster Pike Suite 103 Reisterstown MD 21136-1050 |
| Phone Number | 4435487670 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254327950 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| 210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
| 210033 | CARROLL HOSPITAL CENTER |
| 210044 | GREATER BALTIMORE MEDICAL CENTER |
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 | 4435487670 | ADVANCED RADIOLOGY PA |
| 124 Sister Pierre Dr, Towson, MD 21204-7507 | 4105802400 | ADVANCED RADIOLOGY PA |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Crouch | Diagnostic Radiology | Advanced Radiology Pa | 8801 Bellancia Dr, Austin, TX 78738-7626 |
| Audrey P Mccarron | Diagnostic Radiology | Advanced Radiology Pa | 11425 Dairy St, Fulton, MD 20759-2662 |
| Clarence C Coleman Jr. | Diagnostic Radiology | Advanced Radiology Pa | 810 Delany Dr, Raleigh, NC 27610-1616 |
| Frank J Welte | Diagnostic Radiology | Advanced Radiology Pa | 112 Corona St, San Francisco, CA 94127-2808 |
| Patricia O Macfarlane | Diagnostic Radiology | Advanced Radiology Pa | 521 W 9th St, Concordia, KS 66901-3319 |
| Jennifer E Bryant | Diagnostic Radiology | Advanced Radiology Pa | 36 Hoffmann Rd, Canton, CT 06019-2123 |
| Holly E Korsvik-wysocki | Diagnostic Radiology | Advanced Radiology Pa | 11913 Tallwood Ct, Potomac, MD 20854-2169 |
| Michael L Hynes | Diagnostic Radiology | Advanced Radiology Pa | 143 Green St, Apt 1, New York, NY 10012-3245 |
| Gregory E Kenyherz | Diagnostic Radiology | Advanced Radiology Pa | 10300 Rainmaker Ct, Reno, NV 89511-5352 |
| Donna Decosta | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| Street Address |
113 WESTMINSTER PIKE SUITE 103 |
| City | REISTERSTOWN |
| State | MD |
| Zip | 21136-1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Roller | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Frederic K Yeganeh | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin G. Bache | Chiropractic | 46 Westminster Rd, Reisterstown, MD 21136-1025 | |
| Jon D Koman | Orthopedic Surgery | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Tatyana Reznikov | Physical Medicine and Rehabilitation | 116 Westminster Pike, Suite 106, Reisterstown, MD 21136-1027 | |
| David Alvarado | Physician Assistant | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Paul Moroney | Physical Therapy | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Jennifer C Correa-elkins | Clinical Social Worker | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Elsa Victoria Correa-deleonardo | Nurse Practitioner | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Elsa I Correa | Psychiatry | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Caitlin M Averill | Nurse Practitioner | Maryland Family Care Inc | 114 Business Ctr Dr, Reisterstown, MD 21136-1229 |
| Craig G Haber | Endocrinology | 106 Business Ctr Dr, Reisterstown, MD 21136-1229 | |
| Find all physicians in zip 21136 | |||
| City | REISTERSTOWN |
| Zip Code | 21136 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | REISTERSTOWN + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.