Lee R Goldberg (NPI# 1609895218, PAC ID# 1850285677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1609895218 |
| PAC ID by PECOS | 1850285677 |
| Professional Enrollment ID | I20040212000055 |
| Full Name | Lee R Goldberg |
| Organization Legal Name | OLD PUEBLO CARDIOLOGY PC |
| Address |
3955 E Ft Lowell Rd Suite 113 Tucson AZ 85712-1046 |
| Phone Number | 5203237277 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1996 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668553843 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030006 | TUCSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 | 5203237277 | OLD PUEBLO CARDIOLOGY PC |
| 5301 E Grant Rd, Tucson, AZ 85712-2805 | 5203275461 | TUCSON MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 79% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 83% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 68% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 90% | |
| MIPS_EC_047_overall | Care Plan | 42% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 59% |
| Organization Legal Name | OLD PUEBLO CARDIOLOGY PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Charles Deboe | Nurse Practitioner | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Stanley J Goldberg | Cardiovascular Disease (cardiology) | Old Pueblo Cardiology PC | 1073 W 23rd St, Yuma, AZ 85364-8347 |
| Scott F Lopez | Nurse Practitioner | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Street Address |
3955 E FT LOWELL RD SUITE 113 |
| City | TUCSON |
| State | AZ |
| Zip | 85712-1046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Charles Deboe | Nurse Practitioner | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Scott F Lopez | Nurse Practitioner | Old Pueblo Cardiology PC | 3955 E Ft Lowell Rd, Suite 113, Tucson, AZ 85712-1046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Diez De Pinos | Psychiatry | La Frontera Center, Inc. | E4891e Grant Rd, Tucson, AZ 85712 |
| Christina Frances Guido-felix | Clinical Social Worker | La Frontera Center, Inc. | E4891e Grant Rd, Tucson, AZ 85712 |
| Steven J Bupp | Psychiatry | 5160 E Glenn St, Suite 100, Tucson, AZ 85712-0300 | |
| Leslie M Weintraub | Optometry | Catalina Eye Care PC | 3925 E Fort Lowell Rd, Suite 100, Tucson, AZ 85712-1009 |
| Lynn Polonski | Ophthalmology | Catalina Eye Care PC | 3925 E Fort Lowell Rd, Suite 100, Tucson, AZ 85712-1009 |
| Ovette F Villavicencio | Ophthalmology | Catalina Eye Care PC | 3925 E Fort Lowell Rd, Suite 100, Tucson, AZ 85712-1009 |
| Imran Ata | Cardiovascular Disease (cardiology) | 3925 E Fort Lowell Rd, Suite 105, Tucson, AZ 85712-1053 | |
| Munirih L Mclaren | Chiropractic | 4646 E Fort Lowell Rd, Suite 101, Tucson, AZ 85712-1100 | |
| Cheryll Straub | Chiropractic | 4626 E Fort Lowell Rd, Suite H, Tucson, AZ 85712-1127 | |
| Rosanne M Dukart | Chiropractic | 4626 E Fort Lowell Rd, Suite D, Tucson, AZ 85712-1127 | |
| Find all physicians in zip 85712 | |||
| City | TUCSON |
| Zip Code | 85712 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | TUCSON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Lee R Goldberg.
| 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.