MR. MARC EVAN GOLDBERG (NPI# 1447256714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447256714 |
| Entity Type | Individual |
| Full Name | MR. MARC EVAN GOLDBERG |
| Credential | DPM |
| Practice Address |
3408 Olandwood Ct Suite 204 Olney MD 20832-1367 |
| Practice Telephone | 3019245044 |
| Practice Fax Number | 3019245933 |
| Mailing Telephone | 3019245044 |
| Mailing Fax Number | 3019245933 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01400 | MD | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093106015 | Marc David Goldberg | Physical Therapist | 255 W 108th St Apt 9d, New York, NY 10025-2927 | 2015-02-12 |
| 1548277890 | Marc D Goldberg | Psychologist | 1008 E Jefferson St, Charlottesville, VA 22902-5328 | 2006-08-01 |
| 1588653703 | Marc J Goldberg | Ophthalmology | 8399 W. Oakland Park Blvd., Suite A, Sunrise, FL 33351-7311 | 2005-10-20 |
| 1497994511 | Marc Stewart Goldberg | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2009-02-12 |
| 1326186552 | Marc Goldberg | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1578629267 | Marc Bruce Goldberg | Anesthesiology | 900 Walnut St, Philadelphia, PA 19107-5509 | 2006-12-28 |
| 1376599563 | Marc A Goldberg | Internal Medicine | 6 Brighton Rd, 2nd Floor, Clifton, NJ 07012-1647 | 2006-05-26 |
| 1952396186 | Marc Andrew Goldberg | Ophthalmology | 2000 S Wheeling Ave, Suite 501, Tulsa, OK 74104-5639 | 2005-09-14 |
| Street Address |
3408 OLANDWOOD CT SUITE 204 |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104759 | Christopher Paul Farnworth | Podiatrist | 3408 Olandwood Ct, Suite 204, Olney, MD 20832-1367 | 2005-06-17 |
| 1558326298 | Family Foot & Ankle Associates of Maryland, P.a. | Podiatrist | 3408 Olandwood Ct, Suite 204, Olney, MD 20832-1367 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114255999 | Gievers-zuniga Foot & Ankle Center | Podiatrist | 18111 Prince Philip Dr Ste 328, Olney, MD 20832-1507 | 2009-12-06 |
| 1932104759 | Christopher Paul Farnworth | Podiatrist | 3408 Olandwood Ct, Suite 204, Olney, MD 20832-1367 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773639 | Rosedale Podiatry Associates | Podiatrist | 9106 Philadelphia Rd Ste 204, Baltimore, MD 21237-4333 | 2020-02-25 |
| 1003447574 | Podiatry Associates Ambulatory Surgery Centers | Podiatrist | 6569 N Charles St Ste 702, Towson, MD 21204-6832 | 2020-02-03 |
| 1770143497 | Cassandre Charles | Podiatrist | 10 N Greene St Ste 112b, Baltimore, MD 21201-1524 | 2019-06-14 |
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1922520063 | Maryland Foot & Ankle Reconstruction Group LLC | Podiatrist | 14301 Autumn Gold Rd, Boyds, MD 20841-4208 | 2017-07-11 |
| 1376073171 | Laura Ashley Michetti | Podiatrist | 10264 Southern Maryland Blvd Ste 105, Dunkirk, MD 20754-3037 | 2017-06-14 |
| 1235671298 | David Lee Reicher | Podiatrist | 12138 Heneson Garth, Owings Mills, MD 21117-1600 | 2016-11-08 |
| 1942756275 | Adam Weaver | Podiatrist | 139 Old Solomons Island Rd Ste C, Annapolis, MD 21401-0902 | 2016-08-28 |
| 1528419595 | Kristen Rose Cadieux | Podiatrist | 16 North Laplata Court, Laplata, MD 20646-4200 | 2016-06-30 |
| 1073962270 | Farzad Saleh | Podiatrist | 6130 Oxon Hill Rd Ste 305, Oxon Hill, MD 20745-3168 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
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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.