NEIL J GOLDBERG (NPI# 1184612251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184612251 |
| Entity Type | Individual |
| Full Name | NEIL J GOLDBERG |
| Credential | D.O. |
| Practice Address |
2632 N 20th St Phoenix AZ 85006-1339 |
| Mailing Address |
Po Box 61773 Phoenix AZ 85082-1773 |
| Practice Telephone | 6022662200 |
| Practice Fax Number | 6026045045 |
| Mailing Telephone | 6026826701 |
| Mailing Fax Number | 6022406177 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3653 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
1031 | AZ | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
1003 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 560054 | 05 | |
| AZ | SUN HEALTH GROUP # | WCSKQ | 01 |
| AZ | BCBS # | AZ0886080 | 01 |
| AZ | RAILROAD MEDICARE | P00304261 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780625509 | Neil Goldberg | Specialist | 206 Woodswail Ct, Waxhaw, NC 28173-6992 | 2006-06-10 |
| 1780722181 | Neil Goldberg | Internal Medicine | 9808 Venice Blvd, # 603, Culver City, CA 90232-2732 | 2007-02-01 |
| 1831272269 | Neil S Goldberg | Dermatology | 77 Pondfield Road, Bronxville, NY 10708 | 2006-10-21 |
| 1114009321 | Neil Goldberg | Internal Medicine | 7505 Osler Dr, Suite 502, Baltimore, MD 21204-7736 | 2006-10-19 |
| 1538100185 | Neil Ellis Goldberg | Podiatrist | 228 S Orange Ave, South Orange, NJ 07079-2202 | 2006-06-08 |
| 1821083742 | Neil A Goldberg | Pediatrics | 7373 W Jefferson Ave, Suite 102, Lakewood, CO 80235-2038 | 2005-09-16 |
| Street Address |
2632 N 20TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938147 | Rajagopalan Ravi | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2005-08-02 |
| 1083043210 | Joei Johns | Physician Assistant | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2013-11-07 |
| 1659685782 | Vhs Arizona Heart Institute Inc | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2010-07-30 |
| 1093966194 | Hussein Dawod Jabr | Specialist/Technologist, Other | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-10-07 |
| 1457508723 | Ahi Cardiovascular Surgeons Ltd | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-08-19 |
| 1144482886 | Ahi Cardiovascular Surgeons Ltd | Radiology | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-06-25 |
| 1952423311 | Michael Ipo Chow | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-04-05 |
| 1316067549 | Carole Jane Klein | Counselor | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-03-30 |
| 1972648087 | Arizona Heart Institute Ltd | Specialist | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-02-20 |
| 1194879296 | Arizona Heart Institute Ltd | Clinic/Center | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-01-23 |
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|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
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| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113546 | Phoenician Cardiac Care LLC | Internal Medicine | 2228 W Northern Ave # D-209, Phoenix, AZ 85021-9369 | 2020-08-07 |
| 1184122434 | Coordinated Health of Az, LLC | Internal Medicine | 2155 W Pinnacle Peak Rd Ste 201c, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1578007597 | Rivera Physician Pllc | Internal Medicine | 4345 E Aliso Cyn, Phoenix, AZ 85044-5582 | 2016-12-09 |
| 1841650850 | Cardiac Cath Lab of Phoenix, Lp | Internal Medicine | 1910 E Thomas Rd, Suite 101, Phoenix, AZ 85016-7766 | 2016-03-03 |
| 1699118240 | Mohammed Tahir Hasoon | Internal Medicine | 9100 N 2nd St Ste 3100, Phoenix, AZ 85020-2446 | 2013-04-14 |
| 1710279625 | Shivani Shodhan | Internal Medicine | 9100 N 2nd St Ste 321, Phoenix, AZ 85020-2459 | 2011-05-11 |
| 1447576566 | Sheena Amy Prakash | Internal Medicine | 3815 E Bell Rd Ste 3400, Phoenix, AZ 85032 | 2010-04-14 |
| 1316186679 | Advanced Heart & Vascular Institute | Internal Medicine | 1331 N 7th St Ste 190, Phoenix, AZ 85006-2701 | 2009-02-10 |
| 1679727531 | Advanced Cardiology Diagnostic Centers LLC | Internal Medicine | 2401 W Glendale Ave, Suite 208, Phoenix, AZ 85021-7677 | 2008-11-05 |
| 1972794659 | Rishi Kirit Patel | Internal Medicine | 6036 N 19th Ave Ste 506, Phoenix, AZ 85015-2143 | 2007-08-07 |
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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.