Etai Goldenberg (NPI# 1669663605, PAC ID# 6901055854) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1669663605 |
| PAC ID by PECOS | 6901055854 |
| Professional Enrollment ID | I20130826000292 |
| Full Name | Etai Goldenberg |
| Organization Legal Name | UROLOGY OF ST. LOUIS, INC |
| Address |
12855 N 40 Dr Suite 375 Saint Louis MO 63141-8657 |
| Phone Number | 3145676071 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204723786 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140289 | ANDERSON HOSPITAL |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 140185 | MEMORIAL HOSPITAL |
| 140002 | ALTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6812 State Route 162 200, Maryville, IL 62062-8562 | 6182880900 | UROLOGY OF ST. LOUIS, INC |
| 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 | 3145676071 | UROLOGY OF ST. LOUIS, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 61% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 29% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 63% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 23% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 72% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 12% |
| Organization Legal Name | UROLOGY OF ST. LOUIS, INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Porter | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Matthew T. Johnson | Urology | Urology of St. Louis, Inc | 6812 State Route 162 200, Maryville, IL 62062-8562 |
| James Rybak | Urology | Urology of St. Louis, Inc | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Joseph Levy | Urology | Urology of St. Louis, Inc | 112 Piper Hill Dr, Suite 12, Saint Peters, MO 63376-1690 |
| Danielle N Fries | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Asim Razzaq | Urology | Urology of St. Louis, Inc | 11155 Dunn Rd, Suite 309e, Saint Louis, MO 63136-6111 |
| David W Keetch | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Brad C White | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Matthew Spellman | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Seth Strope | Urology | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Street Address |
12855 N 40 DR SUITE 375 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63141-8657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Porter | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Danielle N Fries | Nurse Practitioner | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Jaeyoung Yoon | Dermatology | Forefront Dermatology Sc | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 |
| Sarah Alison Finger Basak | Dermatology | Forefront Dermatology Sc | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 |
| Karuna P Murray | Gynecological Oncology | 12855 N 40 Dr, Suite 325, Saint Louis, MO 63141-8668 | |
| Seth Strope | Urology | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Steven R Frank | Podiatry | Steven Frank, Dpm, LLC | 12855 N 40 Dr, Suite 175, Saint Louis, MO 63141-8664 |
| Demetrios A Katsikas | Urology | Urology of St. Louis, Inc | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8657 |
| Ryan W Couchman | Orthopedic Surgery | Mercy Clinic Surgical Specialists LLC | 12855 N 40 Dr, Suite 125, Saint Louis, MO 63141-8663 |
| Byron D Baptist | Internal Medicine | Mercy Clinic East Communities | 12855 N 40 Dr, 280 Mercy Clinic Diabetes and Nutrition Center, Saint Louis, MO 63141-8657 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| Specialty | UROLOGY |
| City + Specialty | SAINT LOUIS + UROLOGY |
Please comment or provide details below to improve the information on Etai Goldenberg.
| 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.