Scott R Goldberg (NPI# 1457693772, PAC ID# 0143451385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1457693772 |
| PAC ID by PECOS | 0143451385 |
| Professional Enrollment ID | I20180606000250 |
| Full Name | Scott R Goldberg |
| Organization Legal Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| Address |
7007 Old Sauk Rd Madison WI 53717-2307 |
| Phone Number | 6088198760 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 5294830451 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7007 Old Sauk Rd, Madison, WI 53717-2307 | 6088198760 | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| Organization Legal Name | CENTER FOR ORAL AND MAXILLOFACIAL SURGERY SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Kramer | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Tj A Dyer | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Kim J Pansegrau | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Geoffrey R Warda | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Rhys P Strasia | Oral Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Jeffery B Davis | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery Sc | 20 S Park St, Suite 506, Madison, WI 53715-1306 |
| Street Address |
7007 OLD SAUK RD |
| City | MADISON |
| State | WI |
| Zip | 53717-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita W Larsen | Registered Dietitian Or Nutrition Professional | American Health Assessments, LLC | 8040 Excelsior Dr, Suite 200, Madison, WI 53717-1338 |
| Leah K Barr | Psychologist, Clinical | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Ben Green | Psychologist, Clinical | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Janet L Bauer | Clinical Social Worker | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Stacy L Killinger | Psychologist, Clinical | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Daniel P Davis | Psychologist, Clinical | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Lea Mcintosh | Clinical Social Worker | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Linda S Albert | Clinical Social Worker | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Raymond J Koziol | Psychologist, Clinical | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Ronald J May | Psychologist, Clinical | The Psychology Center S C | 7617 Mineral Point Rd, Suite 300, Madison, WI 53717-1623 |
| Find all physicians in zip 53717 | |||
| City | MADISON |
| Zip Code | 53717 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MADISON + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.