DR. PAUL MICHAEL GOLDBERG (NPI# 1972560456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972560456 |
| Entity Type | Individual |
| Full Name | DR. PAUL MICHAEL GOLDBERG |
| Credential | D.O. |
| Practice Address |
1201 Seven Locks Rd Suite 216 Rockville MD 20854-2931 |
| Mailing Address |
12300 Briarbush Ln Potomac MD 20854-1032 |
| Practice Telephone | 3016708338 |
| Practice Fax Number | 3016708339 |
| Mailing Telephone | 3016708338 |
| Mailing Fax Number | 3016708339 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 0102036831 | VA | Allopathic & Osteopathic Physicians |
| Y | 207K00000X | Allergy & Immunology | H0032415 | MD | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
0102036831 | VA | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
H0032415 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL TAX ID | 52-1744186 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619901329 | Paul Aaron Goldberg | Ophthalmology | 125 Strawberry Hill Ave, Suite 102, Stamford, CT 06902-2595 | 2006-07-10 |
| 1710971619 | Paul B Goldberg | Allergy & Immunology | 4641 Main St, Bridgeport, CT 06606-1827 | 2005-09-07 |
| 1437365616 | Paul Aaron Goldberg | Chiropractor | 2480 Windy Hill Rd Se, Suite 203, Marietta, GA 30067-8644 | 2007-05-15 |
| 1629133293 | Paul Goldberg | Social Worker | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-12-26 |
| 1952419525 | Paul Michael Goldberg | Plastic Surgery | 10383 Hagen Ranch Rd Ste 100, Boynton Beach, FL 33437 | 2006-08-25 |
| 1508817065 | Paul Goldberg | Radiology | 801 S Washington St, Naperville, IL 60540-7430 | 2006-05-12 |
| 1225087240 | Paul B Goldberg | Specialist | 1070 N Stone St, Suite D, Deland, FL 32720-0919 | 2006-05-08 |
| 1669451126 | Paul A Goldberg | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2006-01-12 |
| 1649269903 | Paul Goldberg | Pediatrics | 11011 Sheridan St, Suite 311, Hollywood, FL 33026-1532 | 2005-10-19 |
| 1316943574 | Paul Edward Goldberg | Internal Medicine | 3100 Princeton Pike, Lawrenceville, NJ 08648-2300 | 2005-06-22 |
| Street Address |
1201 SEVEN LOCKS RD SUITE 216 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20854-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324010 | Mark Neal Levy | Podiatrist | 1201 Seven Locks Rd, Ste 202, Rockville, MD 20854-2956 | 2005-05-24 |
| 1487105946 | Privia Medical Group, LLC | Podiatrist | 1201 Seven Locks Rd, Suite 202, Rockville, MD 20854-2931 | 2016-10-20 |
| 1811350994 | Carole Dean | Massage Therapist | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2931 | 2016-04-05 |
| 1225490105 | Stephanie Grace Park | Psychologist | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2016-03-22 |
| 1952768541 | Michal Moskowitz | Psychologist | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2016-01-27 |
| 1396153797 | Darryl Stewart | Nurse Practitioner | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2014-07-29 |
| 1982030342 | Louis Simchowitz | Internal Medicine | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2013-09-17 |
| 1659615425 | Mark N Levy Dpm Pa | Podiatrist | 1201 Seven Locks Rd, Suite 202, Rockville, MD 20854-2931 | 2012-11-19 |
| 1174817498 | Jesse Gabriel Brand | Clinical Neuropsychologist | 1201 Seven Locks Rd, Suite 101, Rockville, MD 20854-2931 | 2011-06-03 |
| 1497051536 | Ryan Mullen | Chiropractor | 1201 Seven Locks Rd, Rockville, MD 20854-2931 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902148307 | Scott Koenig | Allergy & Immunology | 9640 Medical Center Dr, Rockville, MD 20850-3368 | 2013-03-23 |
| 1982903498 | Kristin C Sokol | Allergy & Immunology | 9601 Blackwell Rd Ste 275, Rockville, MD 20850-6492 | 2011-03-23 |
| 1780876797 | Todd Matthew Wilson | Allergy & Immunology | 14200 Shady Grove Rd, Rockville, MD 20850-7464 | 2007-08-14 |
| 1952592818 | Gina E Dapul-hidalgo | Allergy & Immunology | 9210 Corporate Blvd Ste 440, Rockville, MD 20850-6520 | 2007-08-06 |
| 1457476699 | Paul Bernhard Keiser | Allergy & Immunology | 6000 Executive Blvd Ste 615, Rockville, MD 20852-3876 | 2007-03-20 |
| 1083741284 | Vincent J Vaghi Md and Jeanne M Barbera Md PC | Allergy & Immunology | 50 West Edmunston Drive, Suite 301, Rockville, MD 20852-1246 | 2007-02-27 |
| 1407957806 | Paul M. Goldberg, D.o., P.C. | Allergy & Immunology | 6282 Montrose Rd, Rockville, MD 20852-4119 | 2006-09-26 |
| 1912012402 | Martin William Graf | Allergy & Immunology | 15225 Shady Grove Road, Rockville, MD 20850 | 2006-08-21 |
| 1770508210 | Dennis Gary Kleban | Allergy & Immunology | 19119 Rockville Pike, Rockville, MD 20852 | 2006-07-13 |
| 1417928318 | Randy Scott Stoloff | Allergy & Immunology | 14995 Shady Grove Rd Ste 100, Rockville, MD 20850-8733 | 2006-01-30 |
| Find all providers in ROCKVILLE | ||||
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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.