MARK CHARLES GOLDBERG (NPI# 1700804366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700804366 |
| Entity Type | Individual |
| Full Name | MARK CHARLES GOLDBERG |
| Credential | M.D. |
| Practice Address |
4790 E Camp Lowell Dr Tucson AZ 85712-1275 |
| Practice Telephone | 5203195922 |
| Practice Fax Number | 5203196128 |
| Mailing Telephone | 5203195922 |
| Mailing Fax Number | 5203196128 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18426 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
18426 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
18426 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 100462 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821264961 | Mark Goldberg | Social Worker | 27 Swayze St, West Orange, NJ 07052-2025 | 2008-05-07 |
| 1306935432 | Mark King Goldberg | Podiatrist | 5638 Overbrook Ave, Philadelphia, PA 19131-1316 | 2006-10-12 |
| 1114015690 | Mark Goldberg | Orthotist | 9 Technology Dr, East Setauket, NY 11733-4000 | 2006-10-10 |
| 1144238312 | Mark Daniel Goldberg | Family Medicine | 5252 E Main St, Mesa, AZ 85205-8022 | 2006-08-04 |
| 1063434371 | Mark N Goldberg | Psychiatry & Neurology | 296 Ne 99th St, Miami Shores, FL 33138-2435 | 2006-07-24 |
| 1427082320 | Mark Goldberg | Radiology | 1801 Colorado Ave Ste 230, Turlock, CA 95382-2707 | 2006-07-10 |
| 1649240003 | Mark Mitchell Goldberg | Podiatrist | 970 Washington Ave, Chestertown, MD 21620-3322 | 2006-01-26 |
| 1013994888 | Mark A Goldberg | Radiology | 271 Waverly Oaks Rd, Waltham, MA 02452-8469 | 2005-12-22 |
| 1992799464 | Mark S Goldberg | Podiatrist | 4 Ambler Ln, Aberdeen, NJ 07747-1205 | 2005-09-09 |
| 1790008415 | Mark Andrew Goldberg | Dentist | 1603 S Hiawassee Rd, Suite 135, Orlando, FL 32835-6438 | 2010-03-09 |
| Street Address |
4790 E CAMP LOWELL DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619232857 | Ellen Crystal Goss | Nurse Practitioner | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2012-07-12 |
| 1891070371 | Rachel Lee Doerr | Nurse Practitioner | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2011-10-17 |
| 1881874949 | Mark C Goldberg, Md PC | Specialist | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2007-11-06 |
| 1962589002 | Jessica Hoffman | Family Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-11-01 |
| 1730266776 | Tucson Cardiovascular Imaging LLC | Clinic/Center | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-11-01 |
| 1265519300 | Merri A Miller | Family Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-11-01 |
| 1730271198 | Tucson Cardiovascular Associates | Specialist | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1235577636 | Jennifer Juxiang Huang-tsang | Internal Medicine | 5170 E Glenn St Ste 130&160, Tucson, AZ 85712-1396 | 2013-06-06 |
| 1154663144 | James Eugene Dalen | Internal Medicine | 5305 N Via Velazquez, Tucson, AZ 85750-5989 | 2013-03-18 |
| 1821369919 | Roger Brian Johnson | Internal Medicine | 7595 E Placita Vista Del Bosque, Tucson, AZ 85715-3651 | 2012-01-20 |
| 1922313774 | Tushar Acharya | Internal Medicine | 1501 N Campbell Ave Rm 5153, Tucson, AZ 85724-0001 | 2010-08-17 |
| 1144549510 | Mark Ira Feldman, M.d. P.C. | Internal Medicine | 3801 N Campbell Ave Ste C, Tucson, AZ 85719-1448 | 2010-05-25 |
| 1114140738 | Arizona Cardiovascular Specialists, P.C. | Internal Medicine | 1601 N Swan Rd, Tucson, AZ 85712-4046 | 2007-04-11 |
| 1578574232 | Mohammad Reza Movahed Shariat Panahi | Internal Medicine | 6119 N Pinchot Rd, Tucson, AZ 85750-1297 | 2006-08-10 |
| 1275548000 | Goldberg Medical Services Inc | Internal Medicine | 3130 N Swan Rd, Tucson, AZ 85712-1227 | 2006-07-30 |
| 1427079987 | Timothy M Marshall | Internal Medicine | 5170 E Glenn St, Bldg 2, Ste. 160, Tucson, AZ 85712-1337 | 2006-07-21 |
| Find all providers in TUCSON | ||||
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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.