DR. ROBERT T GOETZINGER (NPI# 1275529380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275529380 |
| Entity Type | Individual |
| Full Name | DR. ROBERT T GOETZINGER |
| Credential | M.D. |
| Practice Address |
131 Upper Riverdale Rd Sw Riverdale GA 30274-2540 |
| Practice Telephone | 7709949913 |
| Practice Fax Number | 7709940706 |
| Mailing Telephone | 7709949913 |
| Mailing Fax Number | 7709940706 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 018141 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP # | GRP1119 | 01 |
| GA | RAILROAD MEDICARE | 406183577 | 01 |
| Street Address |
131 UPPER RIVERDALE RD SW |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520501 | Haley Penrod | Optometrist | 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | 2017-07-14 |
| 1942498308 | Robert T Goetzinger Md PC | Ophthalmology | 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902861354 | Eric J Fleischer | Ophthalmology | 5711 Sarvis Avenue, Suite 402, Riverdale, MD 20737 | 2006-04-19 |
| 1740284736 | Ricardo Brasiliano Akstein | Ophthalmology | 86 Upper Riverdale Rd, Suite 100, Riverdale, GA 30274 | 2005-06-08 |
| 1932498482 | Paul Goodman | Ophthalmology | 5711 Sarvis Ave, Suite 402, Riverdale, MD 20737-1394 | 2011-04-06 |
| 1265762280 | Robert C. Hsieh, M.d.,p.a. | Ophthalmology | 6510 Kenilworth Ave, Suite 1300, Riverdale, MD 20737-1339 | 2010-01-14 |
| 1740450816 | Washington Eye Institute, LLC | Ophthalmology | 5711 Sarvis Ave, Suite 402, Riverdale, MD 20737-1394 | 2008-03-05 |
| 1073796389 | Akstein Eye Center | Ophthalmology | 86 Upper Riverdale Rd, Suite 100, Riverdale, GA 30214 | 2007-12-10 |
| 1942498308 | Robert T Goetzinger Md PC | Ophthalmology | 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | 2007-10-11 |
| 1790908051 | Lamees Ashker | Ophthalmology | 5711 Sarvis Ave, Suite 402, Riverdale, MD 20737-1394 | 2007-04-11 |
| 1285644542 | Glenn Stephen Shear | Ophthalmology | 33 Upper Riverdale Rd Sw, Suite 114, Riverdale, GA 30274-2626 | 2006-08-09 |
| 1588690358 | Michael Eric Summerfield | Ophthalmology | 5711 Sarvis Ave, Suite402, Riverdale, MD 20737-1394 | 2006-06-24 |
| Find all providers in RIVERDALE | ||||
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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.