DR. DAVID TODD GOLDENBERG (NPI# 1417170432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417170432 |
| Entity Type | Individual |
| Full Name | DR. DAVID TODD GOLDENBERG |
| Credential | MD |
| Practice Address |
1101 E Missouri Ave Phoenix AZ 85014-2709 |
| Mailing Address |
Po Box 32530 Phoenix AZ 85064-2530 |
| Practice Telephone | 6022222221 |
| Practice Fax Number | 6022662044 |
| Mailing Telephone | 6022222221 |
| Mailing Fax Number | 6022655077 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 41482 | AZ | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 4301089370 | MI | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
41482 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GRP TAX ID | 38-1946761 | 01 |
| MI | 5192486 | 05 | |
| AZ | 436752 | 05 |
| 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 |
| 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 |
| 1063454171 | David Goldenberg | Radiology | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2006-06-12 |
| 1578520847 | David Goldenberg | Otolaryngology | 500 University Dr, Hershey, PA 17033-2360 | 2006-04-28 |
| Street Address |
1101 E MISSOURI AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686766 | Pravin U Dugel | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2005-08-10 |
| 1932553211 | Eyenet Triage, Plc | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2016-04-22 |
| 1619335379 | Connie I. Martin | Specialist/Technologist, Other | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2016-02-09 |
| 1871720755 | Neal V Palejwala | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2009-06-17 |
| 1699902577 | Sujit Itty | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2009-06-17 |
| 1225214646 | Mark Rami Barakat | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2008-01-16 |
| 1619181260 | Sachin Mehta | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2007-05-10 |
| 1982759221 | Karim N. Jamal | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2007-01-25 |
| 1700823051 | Retinal Consultants of Arizona Ltd | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2006-06-02 |
| 1053358978 | Edward John Quinlan | Ophthalmology | 1101 E Missouri Ave, Phoenix, AZ 85014-2709 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| 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 |
|---|---|---|---|---|
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| 1518233592 | Debora Elena Garcia-zalisnak | Ophthalmology | 8410 W Thomas Rd Ste 146, Phoenix, AZ 85037-3374 | 2012-03-23 |
| 1750677415 | Matthew Heller | Ophthalmology | 515 W Buckeye Road, Suite 104, Phoenix, AZ 85003-3699 | 2011-06-21 |
| 1629224795 | Ronald S Garlikov | Ophthalmology | 13225 N 14th St, Phoenix, AZ 85022-4918 | 2008-08-08 |
| 1952570194 | Misha Faustina, M.d. PC | Ophthalmology | 1010emcdowellrd, #406, Phoenix, AZ 85006-2610 | 2008-02-21 |
| 1497971535 | Robert E Fintelmann | Ophthalmology | 4400 N 32nd St Ste 280, Phoenix, AZ 85018-3978 | 2007-04-17 |
| 1013065770 | Madhavi Kurli | Ophthalmology | 19820 N 7th St, Suite 120, Phoenix, AZ 85024-1689 | 2007-01-08 |
| 1457410623 | Abc Children's Eye Specialists PC | Ophthalmology | 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006 | 2006-12-06 |
| 1851496848 | Graham Barth Kretchman | Ophthalmology | 1010 E Mcdowell, Suite 406, Phoenix, AZ 85006 | 2006-09-14 |
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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.