Corey T Goldberg (NPI# 1780983221, PAC ID# 5698905016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1780983221 |
| PAC ID by PECOS | 5698905016 |
| Professional Enrollment ID | I20160425000734 |
| Full Name | Corey T Goldberg |
| Organization Legal Name | DALLAS OREGON EMERGENCY PHYSICIANS LLC |
| Address |
525 Se Washington St Dallas OR 97338-2834 |
| Phone Number | 5036238301 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9638357890 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381308 | WEST VALLEY HOSPITAL |
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| Address | Phone | Organization |
|---|---|---|
| 525 Se Washington St, Dallas, OR 97338-2834 | 5036238301 | DALLAS OREGON EMERGENCY PHYSICIANS LLC |
| 1800 N California St, Stockton, CA 95204-6019 | 2094676556 | SAN FRANCISCO PHYSICIANS INTERNATIONAL MEDICAL GROUP INC |
| Organization Legal Name | DALLAS OREGON EMERGENCY PHYSICIANS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretel E Honis | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Punam Hugo | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Michael H Mcqueen | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Christina E Meier | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Elise Blinder | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Sid Hugo | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Andrew J Miller | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Street Address |
525 SE WASHINGTON ST |
| City | DALLAS |
| State | OR |
| Zip | 97338-2834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenton Rance Orr | Nurse Practitioner | Salem Health West Valley | 525 Se Washington St, Dallas, OR 97338-2834 |
| Gretel E Honis | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Punam Hugo | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Caezar S Ordonez | Nurse Practitioner | Oregon Em-i Medical Services PC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Sarah Callaway | Nurse Practitioner | Salem Health West Valley | 525 Se Washington St, Dallas, OR 97338-2834 |
| Michael H Mcqueen | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Christina E Meier | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Bradley K Busey Ii | Nurse Practitioner | Oregon Em-i Medical Services PC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Elise Blinder | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Sid Hugo | Emergency Medicine | Dallas Oregon Emergency Physicians LLC | 525 Se Washington St, Dallas, OR 97338-2834 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Holton Jr. | Chiropractic | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1500 | |
| Brent M Darrington | Physical Therapy | 289 E Ellendale Ave, Suite 101, Dallas, OR 97338-1500 | |
| Jeremy Gaylon Waldie | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Daniel A Lowery | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Hal A Mitchell | Family Practice | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Janet A Matthews | Nurse Practitioner | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Eric M Drake | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Ryan M Delcambre | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Nate M Paredes | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Kristin Marie Trevor | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Find all physicians in zip 97338 | |||
| City | DALLAS |
| Zip Code | 97338 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DALLAS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Corey T Goldberg.
| 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.