DR. BENJAMIN GOLDBERG (NPI# 1518917046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518917046 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN GOLDBERG |
| Credential | M.D. |
| Practice Address |
835 S Wolcott Ave M/c 844 Chicago IL 60612-3748 |
| Practice Telephone | 3129967161 |
| Practice Fax Number | 3129969025 |
| Mailing Telephone | (312) 996-7161 |
| Mailing Fax Number | 3129969025 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-100126 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-100126-2 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4646 N Marine Dr Ste C-8300, Chicago, IL 606405759 | 7735647770 | 7735647771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866987 | Benjamin James Goldberg | Counselor | 910 Skokie Blvd Ste 220, Northbrook, IL 60062-4000 | 2020-03-13 |
| 1609002369 | Benjamin M Goldberg | Dentist | 5770 Wiles Rd, Coral Springs, FL 33067-2156 | 2009-06-08 |
| 1528569423 | Benjamin Willis Goldberg | Recreation Therapist | 1046 Cochecton Tpke, Tyler Hill, PA 18469-4010 | 2018-02-26 |
| 1871884924 | Benjamin Goldberg | Psychiatry & Neurology | 2100 Napa Vallejo Hwy., Napa, CA 94558-6293 | 2011-04-25 |
| Street Address |
835 S WOLCOTT AVE M/C 844 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027247 | Adekunbi Costa | Nurse Practitioner | 835 S Wolcott Ave, Room E-270, Chicago, IL 60612-3748 | 2016-08-11 |
| 1164894465 | University of Illinois At Chicago | General Acute Care Hospital | 835 S Wolcott Ave, E 270, Chicago, IL 60612-3748 | 2015-10-26 |
| 1447645858 | Matthew Robinson | Orthopaedic Surgery | 835 S Wolcott Ave, M/c 844, Chicago, IL 60612-3748 | 2015-04-02 |
| 1174866917 | Joseph Karam | Orthopaedic Surgery | 835 S Wolcott Ave, Room E-270, Chicago, IL 60612-3748 | 2013-03-30 |
| 1902191539 | Andrew Aldeen Gordon | Preventive Medicine | 835 S Wolcott Ave, E-144b, Chicago, IL 60612-3748 | 2011-06-11 |
| 1336430156 | Christopher George | Student in an Organized Health Care Education/Training Program | 835 S Wolcott Ave, Room E-144, Chicago, IL 60612-3748 | 2011-04-27 |
| 1730344573 | Lanashia Wells | Family Medicine | 835 S Wolcott Ave, Chicago, IL 60612-3748 | 2008-07-22 |
| 1801071808 | Elite Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 835 S Wolcott Ave, M/c 844, Chicago, IL 60612-3748 | 2008-01-08 |
| 1770768442 | Benjamin Stuart Goldhirsh | Contractor | 835 S Wolcott Ave, M/c 844, Chicago, IL 60612-3748 | 2007-12-31 |
| 1851304059 | Howard L Lipton | Psychiatry & Neurology | 835 S Wolcott Ave, Chicago, IL 60612-3748 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1639697485 | Jason Alexander Strelzow | Orthopaedic Surgery | 5841 S Maryland Ave Rm S256, Chicago, IL 60637-1443 | 2017-08-31 |
| 1750732277 | Ian Maclean | Orthopaedic Surgery | 1650 W. Harrison St Suite 466 Atrium, Chicago, IL 60612 | 2016-06-27 |
| 1285084046 | South Chicago Orthopedic Specialists, Sc | Orthopaedic Surgery | 1701 W Monterey Ave Ste 4, Chicago, IL 60643-4257 | 2016-06-13 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1104231059 | David Crandall Hirsch | Orthopaedic Surgery | 5841 S Maryland Ave # 3078, Chicago, IL 60637-1443 | 2014-06-29 |
| 1649684945 | Clarabelle Adelaide Devries | Orthopaedic Surgery | 5758 S Maryland Ave Dept 4b, Chicago, IL 60637-1426 | 2014-06-13 |
| 1346651551 | Matthew Caid | Orthopaedic Surgery | 2316 W Belden Ave, Chicago, IL 60647-3266 | 2014-05-12 |
| 1790104396 | Peter Garas | Orthopaedic Surgery | 5841 S Maryland Ave # 3079, Chicago, IL 60637-1443 | 2014-04-10 |
| 1942628730 | Michael Mccarthy | Orthopaedic Surgery | 676 N Saint Clair St Ste 1350, Chicago, IL 60611-4795 | 2014-03-31 |
| Find all providers in CHICAGO | ||||
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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.