DANIEL MICHAEL GOLDFADEN (NPI# 1619038080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619038080 |
| Entity Type | Individual |
| Full Name | DANIEL MICHAEL GOLDFADEN |
| Credential | MD |
| Practice Address |
504 Redmond Rd Nw Rome GA 30165-1416 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7062353855 |
| Practice Fax Number | 7062902399 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 028988 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000330371A | 05 |
| Street Address |
504 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1003426537 | Hilarie Hincy Rankin | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2020-08-10 |
| 1689299000 | Phebe Nicole Hagins Wright | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2020-06-11 |
| 1124688270 | Zachary Carl Whitener | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-06-19 |
| 1255805180 | Amanda Lynn Preteroti | Physician Assistant | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-01-14 |
| 1245700731 | Marenda Celie Russell | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-28 |
| 1952870164 | Redmond Specialty Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-16 |
| 1568958429 | Lori Ann Brady | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-07-03 |
| 1558869404 | Robbie Leah Skinner | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-01-25 |
| 1477928448 | Tosha Michelle White | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2015-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870164 | Redmond Specialty Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-11-16 |
| 1689059412 | Martin J Lynch Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2304 Shorter Ave Nw, Rome, GA 30165-1944 | 2015-07-22 |
| 1992097166 | Zachary Forrest Solomon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2011-05-06 |
| 1235396110 | Cyrus J Parsa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2008-05-19 |
| 1851452270 | Dhru Scott Girard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437514239 | Tai Iwamura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4410 Charleston Pl, Dunwoody, GA 30338-6463 | 2015-12-21 |
| 1821330663 | Michael Dory Horowitz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3465 Harlan Dr Se, Smyrna, GA 30080-4617 | 2013-03-19 |
| 1295075703 | Holland Victor Moore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 747 Aumond Rd, Augusta, GA 30909-3258 | 2013-02-20 |
| 1376894683 | Agewell Men's Institute | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3596 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2012-09-26 |
| 1376894709 | Chris Malone, Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 Prince Ave Ste 13, Athens, GA 30606-5906 | 2012-09-25 |
| 1356602056 | Andrew H Maloney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 95 Collier Rd Nw Ste 2055, Atlanta, GA 30309-1721 | 2012-05-30 |
| 1134407075 | Robert A Hall Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Longfield Ct, Savannah, GA 31410-3513 | 2011-07-26 |
| 1912205964 | Umesh Nareppa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365 Clifton Rd Ne Ste A2228, Atlanta, GA 30322-1013 | 2011-02-28 |
| 1174754246 | Adil Sadiq | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1036 Carlyle Lk, Decatur, GA 30033-4632 | 2009-08-06 |
| 1760629216 | Jonathan Gerard Mcguiness | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365a Clifton Road, Ne, Suite A2223 Cardiothoracic Surgery, Atlanta, GA 30322 | 2009-01-20 |
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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.