DAVID GOLDENBERG (NPI# 1063454171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063454171 |
| Entity Type | Individual |
| Full Name | DAVID GOLDENBERG |
| Credential | M.D. |
| Practice Address |
3630 Guion Rd Indianapolis IN 46222-1616 |
| Mailing Address |
6626e 75th St 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3179207139 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01023645 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | P00176834 | 01 |
| IN | 100358570 | 05 | |
| IN | RAILROAD PTAN | P01512422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952702003 | David Goldenberg | Adult Companion | 3120 Ridge Pike, Eagleville, PA 19403-5705 | 2014-09-09 |
| 1184629545 | David Goldenberg | Specialist | 107 Newtown Rd, 2c, Danbury, CT 06810-4146 | 2005-06-14 |
| 1730684481 | David Dmitriy Goldenberg | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-03-26 |
| 1366855405 | David Goldenberg | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2014-06-06 |
| 1417170432 | David Todd Goldenberg | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2007-04-10 |
| 1710034632 | David Brian Goldenberg | Psychiatry & Neurology | 35 E 85th St, New York, NY 10028-0954 | 2007-01-04 |
| 1194814624 | David Alan Goldenberg | Internal Medicine | 1165 Park Ave, Plainfield, NJ 07060-3010 | 2006-10-12 |
| 1578520847 | David Goldenberg | Otolaryngology | 500 University Dr, Hershey, PA 17033-2360 | 2006-04-28 |
| Street Address |
3630 GUION RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297165 | Ben Huang | Emergency Medicine | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2005-07-01 |
| 1679946545 | Aspen Leaf Emergency Physicians, LLC | Physician Assistant | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2015-11-02 |
| 1972903987 | Wigeon Emergency Physicians LLC | Physician Assistant | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2014-08-27 |
| 1699189704 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2014-06-17 |
| 1972942126 | Christine Young Jung | Family Medicine | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2013-06-20 |
| 1881942282 | Guion Road Inpatient Services LLC | Physician Assistant | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2012-08-16 |
| 1659660553 | Chiaki Nakanishi | Anesthesiology | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2011-03-31 |
| 1922322486 | Mark Allen Stacy | Anesthesiology | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2010-03-26 |
| 1285966580 | Timothy Paul Deutscher | Family Medicine | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2010-02-11 |
| 1184827404 | American Health Network of Indiana, LLC | Internal Medicine | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1922340439 | Ted Alexander Seltman | Radiology | 550 University Blvd Rm 663, Indianapolis, IN 46202-5149 | 2013-03-22 |
| 1386919488 | Paul Joseph Niziolek | Radiology | 714 N Senate Ave Ste 100, Indianapolis, IN 46202 | 2012-03-21 |
| 1770862328 | Oscar Danilo Rosales | Radiology | 1001 W 10st, Wishard Hospital West Building M200, Indianapolis, IN 46202 | 2011-08-15 |
| 1326362120 | Jaimie M. Howell | Radiology | 714 N Senate Blvd., Suite 100, Indianapolis, IN 46202-3297 | 2010-03-23 |
| 1558525535 | Joel A Yalowitz | Radiology | 3907 Guilford Ave, Indianapolis, IN 46205-2827 | 2008-07-18 |
| 1891958757 | George Louis Trilikis | Radiology | 550 N University Blvd Room 0641, Dept of Radiology In University School of Medicine, Indianapolis, IN 46202 | 2008-07-09 |
| 1366604134 | Ian Wong | Radiology | 924 Fayette St, Indianapolis, IN 46202-3019 | 2008-07-01 |
| 1780845941 | Megan Beth Marine | Radiology | 550 University Blvd Rm 641, Indianapolis, IN 46202-5149 | 2008-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
Please comment or provide details below to improve the information on DAVID GOLDENBERG.
| 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.