MARK C GOLDBERG MD LLC (NPI# 1598159584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598159584 |
Entity Type | Organization |
Organization Name | MARK C GOLDBERG MD LLC |
Practice Address |
27900 Euclid Ave Euclid OH 44132-3539 |
Practice Telephone | 2162610058 |
Mailing Telephone | 2162610058 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2015-03-27 |
Authorized Official Name | DR. MARK C GOLDBERG (OWNER) |
Authorized Official Telephone | 2162610058 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
27900 EUCLID AVE |
City | EUCLID |
State | OH |
Zip Code | 44132-3539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679554877 | Andrew Kwabena Brobbey | Internal Medicine | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2005-11-07 |
1356823173 | Cornerstone Podiatry LLC | Podiatrist | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2018-08-29 |
1265953277 | Ronae J Hughes | Nurse Practitioner | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2017-06-29 |
1881129187 | Nakisha Adams | Nurse Practitioner | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2017-04-24 |
1881940591 | Kathleen D Rogers | Internal Medicine | 27900 Euclid Ave, Euclid, OH 44132 | 2012-07-31 |
1144587262 | Elizabeth Newsome | Physician Assistant | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2012-04-13 |
1306119151 | Careplus Inc. | Internal Medicine | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2012-02-09 |
1407087182 | Marilyn Theresa Davies | Nurse Practitioner | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2009-07-29 |
1831214774 | Andrew Brobbey Md Inc | Family Medicine | 27900 Euclid Ave, Euclid, OH 44132-3539 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972061232 | Laurie Ja-lynne Rodgers | Home Health Aide | 1443 Sulzer Ave, Euclid, OH 44132 | 2019-03-06 |
1275032237 | Zaina Abdelkareem | Nurse's Aide | 27195 Shoreview Ave., Euclid, OH 44132 | 2018-02-06 |
1467809673 | Janeail Harris | Nurse's Aide | 25350 Marsdon Dr, Euclid, OH 44132 | 2016-05-17 |
1821457102 | Diana Phrakousonh | Massage Therapist | 26250 Euclid Ave., Suite 711, Euclid, OH 44132 | 2016-02-16 |
1083090542 | Christine Compton | Nurse's Aide | 27601 Mills Ave., #b, Euclid, OH 44132 | 2015-08-07 |
1720468184 | Johnnie Mae Neal | Technician | 1255 E 279th St. #b, Euclid, OH 44132 | 2015-06-01 |
1710309034 | Shannon Marie Laufersweiler | Specialist/Technologist | 27700 Euclid Oh, Euclid, OH 44132 | 2014-01-07 |
1144514720 | Yvette Marcia Brown | Point of Service | 26151 Lakeshore Blvd, Suite 2122, Euclid, OH 44132 | 2011-06-01 |
1356630834 | First Priority Home Care Services LLC | Home Health | 100 Euclid Square Mall, Suite #216, Euclid, OH 44132 | 2011-04-05 |
1871810127 | Paula Helton | Licensed Practical Nurse | 1425 East 263rd Street, Euclid, OHIO 44132 | 2010-04-27 |
Find all providers in zip 44132 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093751448 | John Nick Patzakis | Surgery | 99 Northline Cir, Suite 99, Euclid, OH 44119-1482 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
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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.