DR. MARK J GOLDBERG (NPI# 1841272176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841272176 |
| Entity Type | Individual |
| Full Name | DR. MARK J GOLDBERG |
| Credential | MD |
| Practice Address |
29645 W 14 Mile Rd Ste 200 Farmington Hills MI 48334 |
| Practice Telephone | 2489323700 |
| Practice Fax Number | 2489320958 |
| Mailing Telephone | 2489323700 |
| Mailing Fax Number | 2489320958 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301036760 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4256257 | 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 |
| 1700804366 | Mark Charles Goldberg | Internal Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-07-18 |
| 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 |
| Street Address |
29645 W 14 MILE RD STE 200 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790776946 | Demetris M Demetriou | Internal Medicine | 29645 W 14 Mile Rd, Ste 200, Farmington Hills, MI 48334-1666 | 2005-11-04 |
| 1225018781 | Sandra Schlean Lerner | Family Medicine | 29645 W 14 Mile Rd, Suite 110, Farmington Hills, MI 48334-1666 | 2006-01-20 |
| 1487638755 | Alissa N Citron | Family Medicine | 29645 W 14 Mile Rd, Suite 110, Farmington Hills, MI 48334-1666 | 2005-12-01 |
| 1093797607 | Alan J Silverman | Internal Medicine | 29645 W 14 Mile Rd, Ste 200, Farmington Hills, MI 48334 | 2005-11-18 |
| 1043201296 | Allan W Chernick | Internal Medicine | 29645 W 14 Mile Rd, Ste 200, Farmington Hills, MI 48334-1666 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| 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 |
|---|---|---|---|---|
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1669612875 | Scott Robert Searing | Internal Medicine | 28050 Grand River Ave Ste 306n, Farmington Hills, MI 48336-5919 | 2009-02-27 |
| 1538373360 | Nathan J Foster | Internal Medicine | 30055 Northwestern Hwy. Suite 220, Farmington Hills, MI 48375 | 2007-05-10 |
| 1790776946 | Demetris M Demetriou | Internal Medicine | 29645 W 14 Mile Rd, Ste 200, Farmington Hills, MI 48334-1666 | 2005-11-04 |
| 1871907303 | Botsford General Hospital | Internal Medicine | 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 | 2014-06-12 |
| 1003244625 | Community Physicians Inc | Internal Medicine | 37935 W 12 Mile Rd Ste A, Farmington Hills, MI 48331-6102 | 2013-10-16 |
| 1619310885 | George Rami Dirani | Internal Medicine | 32255 Northwestern Hwy Ste 115, Farmington Hills, MI 48334-1538 | 2013-04-08 |
| 1720280464 | Dr Stephen D Senecoff Md PC | Internal Medicine | 30500 Northwestern Hwy, Ste 316, Farmington Hills, MI 48334-3159 | 2007-06-04 |
| 1952525917 | Robert C Maynard | Internal Medicine | 30055 Northwestern Hwy, Suite 220, Farmington Hills, MI 48334-3230 | 2007-04-12 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on DR. MARK J GOLDBERG.
| 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.