David E Goldman (NPI# 1881715043, PAC ID# 5698086783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1881715043 |
| PAC ID by PECOS | 5698086783 |
| Professional Enrollment ID | I20150616001423 |
| Full Name | David E Goldman |
| Organization Legal Name | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| Address |
154 Forrest Dr Hannibal MO 63401-5503 |
| Phone Number | 5732212120 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9436376969 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| 261313 | MACON COUNTY SAMARITAN MEMORIAL HOSPITAL |
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 154 Forrest Dr, Hannibal, MO 63401-5503 | 5732212120 | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| 105 Pfeiffer Ave, Kirksville, MO 63501-5047 | 6606654612 | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| Organization Legal Name | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey M Westhoff | Nurse Practitioner | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Ricky Mofsen | Psychiatry | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Angela M Caraway | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Carolyn K Greening | Certified Clinical Nurse Specialist (cns) | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Theodore J Oliver | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Jessica L Lang | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Janet K Hultgren | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Jessica Hunolt | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Kristine M Whitehead | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Andrew Lovy | Psychiatry | Mark Twain Association for Mental Health Inc | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 |
| Street Address |
154 FORREST DR |
| City | HANNIBAL |
| State | MO |
| Zip | 63401-5503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey M Westhoff | Nurse Practitioner | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Carolyn K Greening | Certified Clinical Nurse Specialist (cns) | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Theodore J Oliver | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Jessica L Lang | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Janet K Hultgren | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Kristine M Whitehead | Clinical Social Worker | Mark Twain Association for Mental Health Inc | 154 Forrest Dr, Hannibal, MO 63401-5503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Miller | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harsha Desai | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Hemal Mahesh Patel | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Victor A Maalouf | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Lance W Dorsey | Diagnostic Radiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Charles Rey Watson | Anesthesiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Ni Jin | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harjodh Puar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Nadine L Davis | Certified Registered Nurse Anesthetist (crna) | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Sohail Gulzar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Find all physicians in zip 63401 | |||
| City | HANNIBAL |
| Zip Code | 63401 |
| Specialty | PSYCHIATRY |
| City + Specialty | HANNIBAL + PSYCHIATRY |
Please comment or provide details below to improve the information on David E Goldman.
| 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.