MARK D. GOLUB (NPI# 1265868111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265868111 |
| Entity Type | Individual |
| Full Name | MARK D. GOLUB |
| Credential | M.D. |
| Practice Address |
Lee St Fl 1 Charlottesville VA 22908-0001 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 8004674882 |
| Practice Fax Number | 4342436999 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101254002 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093196263 | Mark Golub | Dentist | 1451 Belle Haven Rd, Suite 340, Alexandria, VA 22307-1201 | 2015-06-14 |
| 1932207925 | Mark Steven Golub | Physical Therapist | 109 Bee St, Charleston, SC 29401-5703 | 2006-09-21 |
| Street Address |
LEE ST FL 1 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302093 | Richard P. Shannon | Internal Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2005-08-10 |
| 1477997963 | Lois W. Fulks | Nurse Practitioner | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2013-04-26 |
| 1780940379 | David A. Wilcocks | Emergency Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2012-04-09 |
| 1568788131 | Shapour Bahadori | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2010-04-08 |
| 1952630279 | Jennifer L. Weaver | Physician Assistant | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-12-15 |
| 1851528160 | Douglas R. Gallo | Emergency Medicine | Lee St Fl 1, Charlottesville, VA 22908-0816 | 2009-06-12 |
| 1023244100 | Young Shin Kim | Family Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-06-03 |
| 1700010923 | Alexandra K. Rozas | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-05-04 |
| 1780827303 | David M. Mauro | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-04-13 |
| 1609018407 | Jean-martin Gingras | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| 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 |
|---|---|---|---|---|
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1033439500 | University of Virginia Imaging, LLC | Radiology | 2965 Ivy Road, Suite 101, Charlottesville, VA 22903 | 2010-06-08 |
| 1518281476 | University of Virginia Imaging, LLC | Radiology | 245 Crispell Drive, Charlottesville, VA 22903 | 2010-03-22 |
| 1700014792 | Garrett D. Walters | Radiology | 945 Rockledge Dr, Charlottesville, VA 22908-9775 | 2009-06-29 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1003029620 | Alfred T Shilling | Radiology | 1124 Hilltop Rd, Charlottesville, VA 22903-1221 | 2007-05-08 |
| 1104848902 | Thomas Dix Henry | Radiology | 687 Tilman Rd, Charlottesville, VA 22903-7060 | 2006-07-24 |
| 1639128259 | University of Virginia Imaging, LLC | Radiology | 415 Ray C Hunt Dr Ste 1100, Charlottesville, VA 22903-2980 | 2006-05-09 |
| 1831163831 | Stanley Washington | Radiology | 1215 Lee St Fl 1, Charlottesville, VA 22908-4590 | 2006-02-15 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.