ILYA G GOLDENBERG (NPI# 1619976669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619976669 |
| Entity Type | Individual |
| Full Name | ILYA G GOLDENBERG |
| Credential | MD |
| Practice Address |
2000 Tamarack Rd Newark OH 43055-1183 |
| Practice Telephone | 6142971158 |
| Practice Fax Number | 6142993406 |
| Mailing Telephone | 6142971158 |
| Mailing Fax Number | 6142993406 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-081219 | OH | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 35-081219 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2378896 | 05 | |
| OH | UHC | 7600179 | 01 |
| OH | AETNA | 7826564 | 01 |
| OH | FIRST HEALTH | 2097512 | 01 |
| OH | ANTHEM | 000000259749 | 01 |
| Street Address |
2000 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598204398 | Select Specialty Hospital Zanesville Inc | Hospitalist | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2017-02-14 |
| 1619211463 | Irina Sergeevna Petty | Physician Assistant | 2000 Tamarack Rd, Newark, OH 43055 | 2012-11-17 |
| 1437407269 | Mcn Hospitalist Group LLC | Internal Medicine | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2012-08-28 |
| 1821276163 | Meritas Medical, Inc | Internal Medicine | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2008-02-08 |
| 1164627733 | Medical Center of Newark, L.L.C. | General Acute Care Hospital | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2007-06-15 |
| 1285783860 | S Anne Miller-cohen | Nurse Anesthetist, Certified Registered | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2007-01-10 |
| 1215093950 | Connie Greene | Nurse Anesthetist, Certified Registered | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2006-12-28 |
| 1154496503 | Licking Memorial Professional Corp. | General Practice | 2000 Tamarack Rd, Newark, OH 43055 | 2006-11-21 |
| 1790854933 | Eun K Choe | Anesthesiology | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2006-11-06 |
| 1154406593 | Betty S. Gebhart | Social Worker | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042698 | St Francis Hospitalist Group LLC | Hospitalist | 131 Continental Dr, Suite 215, Newark, DE 19713-4305 | 2008-01-18 |
| 1598204398 | Select Specialty Hospital Zanesville Inc | Hospitalist | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2017-02-14 |
| 1669927513 | Northward Hospital Associates | Hospitalist | 495 N 13th St, Newark, NJ 07107-1317 | 2016-08-22 |
| 1083009336 | Tobias Banks | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2015-04-03 |
| 1104258979 | Maruf A Ali | Hospitalist | 1320 W Main St, Newark, OH 43055 | 2013-08-05 |
| 1487997896 | Gabrielle Alicia Farkas | Hospitalist | 1320 W Main St, Newark, OH 43055-1822 | 2013-04-03 |
| 1558626531 | Essex Physician Services PC | Hospitalist | 11 Central Ave, Newark, NJ 07102-3101 | 2012-07-06 |
| 1437418571 | Joseph James Santora Jr. | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-09 |
| 1376711044 | Abul Ahsan | Hospitalist | 1320 West Main Street, Newark, OH 43055 | 2008-02-15 |
| 1043415326 | Yuliya S Rehab | Hospitalist | 1200 Driving Park Ave, Newark, NY 14513 | 2007-06-18 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on ILYA G GOLDENBERG.
| 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.