SUSAN M GOLDBERG (NPI# 1497787139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497787139 |
| Entity Type | Individual |
| Full Name | SUSAN M GOLDBERG |
| Other Name | SUSAN K GOLDBERG |
| Credential | MD |
| Practice Address |
4321 University Pkwy Suite 104 Evans GA 30809-3058 |
| Practice Telephone | 7068542600 |
| Practice Fax Number | 7068542601 |
| Mailing Telephone | 7068542600 |
| Mailing Fax Number | 7068542601 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
057465 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 057465 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1023663481 | Susan Gayle Goldberg | Psychologist | 1465 Alabama Ave, Pittsburgh, PA 15216-2002 | 2019-08-02 |
| 1184138273 | Susan K Goldberg | Speech-Language Pathologist | 12847 Pembroke Cir, Leawood, KS 66209-1625 | 2017-11-28 |
| 1700227998 | Susan Goldberg | Registered Nurse | 4 Dixon Ct, Sea Cliff, NY 11579-2002 | 2013-07-16 |
| 1912105289 | Susan Sagman Goldberg | Social Worker | 7937 La Mirada Dr, Boca Raton, FL 33433-6107 | 2007-07-06 |
| 1740282649 | Susan C Goldberg | Podiatrist | 21679 State Road 7, Boca Raton, FL 33428-1812 | 2005-08-11 |
| 1093852964 | Susan Dian Goldberg | Urology | 2888 Eureka Way, Suite 201, Redding, CA 96001-0210 | 2007-01-31 |
| 1679645386 | Susan R Goldberg | Occupational Therapist | 280 N Central Ave, Suite 300, Hartsdale, NY 10530-1832 | 2006-11-15 |
| Street Address |
4321 UNIVERSITY PKWY SUITE 104 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759688 | Margaret Mcgee Renew | Pediatrics | 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | 2005-12-02 |
| 1073551503 | Dyan M Spinnato | Legal Medicine | 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | 2006-06-04 |
| 1629025432 | The Pediatric Office, LLC | Pediatrics | 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759688 | Margaret Mcgee Renew | Pediatrics | 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | 2005-12-02 |
| 1629025432 | The Pediatric Office, LLC | Pediatrics | 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427616515 | Pedsnow LLC | Pediatrics | 863 W Oglethorpe Hwy Ste 220, Hinesville, GA 31313-4491 | 2019-06-03 |
| 1073885828 | Middle Georgia Pediatrics | Pediatrics | 1508 Hardeman Ave Ste B, Macon, GA 31201-1471 | 2012-02-08 |
| 1003184409 | Greer Gadsden Larned, M.d., P.C., Faap | Pediatrics | 3802 Waters Ave, Savannah, GA 31404-6210 | 2011-12-13 |
| 1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
| 1770710824 | Children's Medicine of Rockdale | Pediatrics | 1765 Parker Rd Se, Suite B210, Conyers, GA 30094-6652 | 2009-06-16 |
| 1518110451 | Pedia Doc Children's Med Ctr | Pediatrics | 3088 Campbellton Rd Sw, Atlanta, GA 30311-5410 | 2008-10-23 |
| 1396929444 | Total Grace Pediatrics P.C. | Pediatrics | 900 N Hairston Rd # Rs, Suite A, Stone Mountain, GA 30083-2857 | 2007-12-26 |
| 1306060801 | Crystal M Edds | Pediatrics | 125b Victory Dr, Swainsboro, GA 30401-3234 | 2007-04-13 |
| 1962523639 | William P Bristol | Pediatrics | 3300 Fourth Street, Brunswick, GA 31520-3779 | 2007-04-02 |
| 1861527103 | Florida Selga Basilio | Pediatrics | 1519 13th Ave, Columbus, GA 31901-1908 | 2007-02-23 |
| 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.