MICHAEL ANATOLEVICH GOLDBERG (NPI# 1598293409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598293409 |
| Entity Type | Individual |
| Full Name | MICHAEL ANATOLEVICH GOLDBERG |
| Practice Address |
2401 W University Ave Muncie IN 47303-3428 |
| Practice Telephone | 7657411095 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285835140 | Michael Goldberg | Internal Medicine | 2100 Keystone Ave Ste 206, Drexel Hill, PA 19026 | 2007-05-29 |
| 1821150657 | Michael Goldberg | Family Medicine | 11146 76th Dr, Forest Hills, NY 11375-7010 | 2006-12-15 |
| 1215034673 | Michael Ellis Goldberg | Psychiatry & Neurology | 710 W 168th Street, New York, NY 10032-2699 | 2006-09-20 |
| 1205843760 | Michael J Goldberg | Optometrist | 3332 Nw Federal Hwy, Jensen Beach, FL 34957-4402 | 2006-08-01 |
| 1043252141 | Michael Jay Goldberg | Dentist | 2901 W Oakland Park Blvd, B-21, Oakland Park, FL 33311-1243 | 2006-06-12 |
| 1467413104 | Michael S Goldberg | Physical Therapist | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2006-03-31 |
| 1891140794 | Michael Louis Goldberg | Internal Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2016-04-28 |
| 1699151530 | Michael Joseph Goldberg | Pharmacist | 9043 W Olive Ave, Peoria, AZ 85345-7049 | 2015-08-03 |
| 1003215385 | Michael R Goldberg | Psychologist | 243 Nassau Blvd, Garden City, NY 11530-5532 | 2014-08-22 |
| 1114206752 | Michael B Goldberg | Surgery | 501 W 14th St, Wilmington, DE 19801-1013 | 2011-08-14 |
| Street Address |
2401 W UNIVERSITY AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778894 | Adesola Awomolo | Internal Medicine | 2401 W University Ave, Muncie, IN 47303 | 2005-05-23 |
| 1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
| 1295343903 | Elizabeth Ann Ewer | Registered Nurse | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-20 |
| 1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
| 1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
| 1972124451 | David Andrew Price | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-06 |
| 1396366969 | David Arthur Schmitz | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-05 |
| 1093336943 | Donald Brock Smith | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-01 |
| 1629699772 | Jared Blake Salisbury | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-29 |
| 1831718451 | Morgan Perkins | Dietitian, Registered | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1154855229 | Unknown Harmanjot | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303-3433 | 2017-04-17 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1255703625 | Gabrielle Perryman | Student in an Organized Health Care Education/Training Program | 3755 N Marleon Dr, Muncie, IN 47304-7819 | 2015-10-26 |
| 1467823658 | Aubree Block | Student in an Organized Health Care Education/Training Program | 2313 W Sheffield Dr, Muncie, IN 47304-1262 | 2015-10-13 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| 1679700918 | So Ra Kim | Student in an Organized Health Care Education/Training Program | 405 S Morrison Rd, Apt # 99, Muncie, IN 47304-4043 | 2009-06-13 |
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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.