DR. MARK GOLDBERG (NPI# 1063432219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063432219 |
| Entity Type | Individual |
| Full Name | DR. MARK GOLDBERG |
| Credential | M.D. |
| Practice Address |
7238 Mechanicsville Tpke Mechanicsville VA 23111-3502 |
| Mailing Address |
Po Box 758963 Baltimore MD 21275-8963 |
| Practice Telephone | 8045599900 |
| Practice Fax Number | 8045596530 |
| Mailing Telephone | 8049685700 |
| Mailing Fax Number | 8042177991 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101055198 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005625823 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821264961 | Mark Goldberg | Social Worker | 27 Swayze St, West Orange, NJ 07052-2025 | 2008-05-07 |
| 1306935432 | Mark King Goldberg | Podiatrist | 5638 Overbrook Ave, Philadelphia, PA 19131-1316 | 2006-10-12 |
| 1114015690 | Mark Goldberg | Orthotist | 9 Technology Dr, East Setauket, NY 11733-4000 | 2006-10-10 |
| 1144238312 | Mark Daniel Goldberg | Family Medicine | 5252 E Main St, Mesa, AZ 85205-8022 | 2006-08-04 |
| 1063434371 | Mark N Goldberg | Psychiatry & Neurology | 296 Ne 99th St, Miami Shores, FL 33138-2435 | 2006-07-24 |
| 1700804366 | Mark Charles Goldberg | Internal Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-07-18 |
| 1427082320 | Mark Goldberg | Radiology | 1801 Colorado Ave Ste 230, Turlock, CA 95382-2707 | 2006-07-10 |
| 1649240003 | Mark Mitchell Goldberg | Podiatrist | 970 Washington Ave, Chestertown, MD 21620-3322 | 2006-01-26 |
| 1013994888 | Mark A Goldberg | Radiology | 271 Waverly Oaks Rd, Waltham, MA 02452-8469 | 2005-12-22 |
| 1992799464 | Mark S Goldberg | Podiatrist | 4 Ambler Ln, Aberdeen, NJ 07747-1205 | 2005-09-09 |
| Street Address |
7238 MECHANICSVILLE TPKE |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23111-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947276 | Sandra Maurita Smith | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2005-10-24 |
| 1881143428 | Anna Kristina Bonner | Nurse Practitioner | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2016-09-23 |
| 1265890883 | Mariann Hilts Johnson | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2016-02-10 |
| 1083021422 | Cory James Hall | Physician Assistant | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2014-07-17 |
| 1144648114 | Arielle Duncan | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111 | 2014-04-06 |
| 1245526847 | Saeed Jadali | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2011-06-22 |
| 1497902423 | Jean Ann Beaton | Anesthesiology | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2008-08-21 |
| 1457532319 | Brian Matthew Kelley | Emergency Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111 | 2007-11-20 |
| 1689888489 | Michael L. Szymanski | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2007-05-10 |
| 1730305194 | Nancy Juan Dembicer | Physician Assistant | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119808 | Mercy Transports LLC | Private Vehicle | 3212 Mechanicsville Turnpike, Mechanicsville, VA 23111 | 2020-09-16 |
| 1528686953 | Keenan Rea | Pharmacist | 6603 Mechanicsville Tpke, Mechanicsville, VA 23111 | 2020-07-13 |
| 1811512007 | Schwarz Counseling and Coaching | Clinic/Center | 8109 Mechanicsville Turnpike, Suite 1c, Mechanicsville, VA 23111 | 2020-06-12 |
| 1255807459 | Nila Hellams | Specialist/Technologist | 6413 Garden Acre Ct, Mechanicsville, VA 23111 | 2018-10-16 |
| 1083197511 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 6603 Mechanicsville Turnpike, Mechanicsville, VA 23111 | 2018-09-11 |
| 1922587625 | Christine Oglesby Family Therapy Pllc | Counselor | 7147 Brandy Hill Ter Apt 202, Mechanicsville, VA 23111 | 2018-08-13 |
| 1871008185 | Melissa Marks | Counselor | 7266 Hanover Green Dr Ste B, Mechanicsville, VA 23111 | 2017-12-08 |
| 1780127894 | Lavanya Tortiker | Dentist | 7522 Lee Davis Rd, Mechanicsville, VA 23111 | 2016-11-21 |
| 1295183192 | Diane Purvis | Physical Therapist | 7078 Cornfield Lane, Mechanicsville, VA 23111 | 2016-06-01 |
| 1841665049 | Caring for Our Community | Day Training, Developmentally Disabled Services | 8020 Mechanicsville Tpke Unit 152, Mechanicsville, VA 23111 | 2015-12-14 |
| Find all providers in zip 23111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861690497 | Shah Associates Md LLC | Family Medicine | 281 Three Notch Rd Ste 101, Mechanicsville Medical Center, Mechanicsville, MD 20659 | 2007-07-05 |
| 1831285295 | Hanover Family Physicians P.C. | Family Medicine | 9376 Atlee Station Road, Mechanicsville, VA 23116 | 2006-10-05 |
| 1558374736 | Kimberly Buresh Walker | Family Medicine | 7493 Right Flank Rd Ste 400, Ashcake Family Physicians, Mechanicsville, VA 23116-3846 | 2006-08-15 |
| 1205854684 | Karen Bauer | Family Medicine | 28170 Old Village Rd, Mechanicsville, MD 20659-4289 | 2006-07-17 |
| 1740235266 | Andrew Basler Dahlgren | Family Medicine | 8200 Meadowbridge Rd, Suite 200, Mechanicsville, VA 23116-2331 | 2006-05-23 |
| 1811953565 | Pamela Case Wratchford | Family Medicine | 7493 Right Flank Rd, Suite 400, Mechanicsville, VA 23116 | 2006-04-21 |
| 1609844018 | Waldorf Integrated Healthcare, LLC | Family Medicine | 29015 Three Notch Rd, Suite 1-a, Mechanicsville, MD 20659-3228 | 2006-03-10 |
| 1255306460 | Gregory T. Stephens | Family Medicine | 9376 Atlee Station Rd, Mechanicsville, VA 23116-2602 | 2006-02-21 |
| 1568435048 | Kenneth M Heatwole | Family Medicine | 7571 Cold Harbor Rd, Mechanicsville, VA 23111-1631 | 2006-02-07 |
| 1417947276 | Sandra Maurita Smith | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2005-10-24 |
| Find all providers in MECHANICSVILLE | ||||
| City | MECHANICSVILLE |
| Zip Code | 23111 |
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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.