MR. SCOTT FRANKLIN GOLDBERG (NPI# 1255490264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255490264 |
| Entity Type | Individual |
| Full Name | MR. SCOTT FRANKLIN GOLDBERG |
| Credential | PA-C |
| Practice Address |
1100 9th Ave Ms:x6-ort Seattle WA 98101-2756 |
| Mailing Address |
1100 9th Ave Ms:m4-pfs Seattle WA 98101-2756 |
| Practice Telephone | 2062237530 |
| Practice Fax Number | 2063410195 |
| Mailing Telephone | 2065155811 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60801172 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA17801 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA 17801 | MEDICAL LICENSE | 01 |
| CA | SA MEDICAL PHYSICIANS OF CA PTAN | FT721A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801258504 | Scott Goldberg | Student in an Organized Health Care Education/Training Program | 1656 S Throop St Apt 2r, Chicago, IL 60608-2136 | 2016-03-22 |
| 1871650945 | Scott Ira Goldberg | Dentist | 17 Bridge St., Suite 204, Billerica, MA 01821 | 2007-01-01 |
| 1720073919 | Scott Goldberg | Optometrist | 828 Fayette St, Conshohocken, PA 19428-1709 | 2005-09-14 |
| 1639179278 | Scott Goldberg | Otolaryngology | 1190 Nw 95th St, # 200, Miami, FL 33150-2063 | 2005-07-26 |
| 1952797425 | Scott M. Goldberg | Family Medicine | 279 Lincoln St, Worcester, MA 01605-2120 | 2015-04-12 |
| 1457693772 | Scott Roberts Goldberg | Dentist | 810 Main St, Melrose, MA 02176-2711 | 2013-03-25 |
| 1346489762 | Scott Andrew Goldberg | Emergency Medicine | 75 Francis St, Neville House, Boston, MA 02115-6110 | 2009-02-09 |
| 1770680258 | Scott Jason Goldberg | Chiropractor | 14201 W Sunrise Blvd, Suite 202, Sunrise, FL 33323-3207 | 2006-09-19 |
| Street Address |
1100 9TH AVE MS:X6-ORT |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585002 | Carolyn A Searles | Nurse Practitioner | 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 | 2005-05-31 |
| 1134728967 | Xiaodi Feng | Physician Assistant | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-22 |
| 1841898574 | Allison Elizabeth Wong | Genetic Counselor, MS | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-14 |
| 1558978346 | Amy Frick | Dietitian, Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-09-25 |
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1033737317 | Rachel Kathleen Gibbons | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-07-13 |
| 1649896275 | Christian James West | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-19 |
| 1124643341 | Carter Gisriel | Nurse Anesthetist, Certified Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-12 |
| 1578186680 | Lisa Anne Leitzelar | Social Worker | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-05-22 |
| 1922628809 | Yekaterina Shchapina | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1548402209 | Loverne Greg De Venecia Jimenez | Physician Assistant | James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 | 2009-03-27 |
| 1679506737 | Gerald M Strode | Physician Assistant | 521 Wall St, Seattle, WA 98121-1524 | 2006-07-09 |
| 1023049905 | Kari A. Schmitz | Physician Assistant | 3725 Sw Prescott Pl, Seattle, WA 98126-2042 | 2006-07-06 |
| 1528007069 | Claudia M Kalotay | Physician Assistant | 901 Boren Ave #800, Seattle, WA 98104 | 2006-06-06 |
| 1386681815 | Paul Richard Halkett | Physician Assistant | Pbs Building, 401 Broadway, Seattle, WA 98122 | 2006-06-01 |
| 1851361646 | Irina E Penev | Physician Assistant | 550 17th Ave Fl 6, Seattle, WA 98122-5788 | 2006-01-24 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
| Find all providers in SEATTLE | ||||
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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.