Keith L Goldberg (NPI# 1528009149, PAC ID# 7719980630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1528009149 |
| PAC ID by PECOS | 7719980630 |
| Professional Enrollment ID | I20060818000409 |
| Full Name | Keith L Goldberg |
| Organization Legal Name | SURGICAL ALLIANCE OF MIDDLE TENNESSEE PLC |
| Address |
417 Northcrest Dr Springfield TN 37172-3973 |
| Phone Number | 6153848211 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4284647967 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440065 | NORTHCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 417 Northcrest Dr, Springfield, TN 37172-3973 | 6153848211 | SURGICAL ALLIANCE OF MIDDLE TENNESSEE PLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SURGICAL ALLIANCE OF MIDDLE TENNESSEE PLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Kroser | General Surgery | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Jessica A Shrock | Nurse Practitioner | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Mark S Sanders | General Surgery | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Tiffany A Grubbs | Physician Assistant | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Street Address |
417 NORTHCREST DR |
| City | SPRINGFIELD |
| State | TN |
| Zip | 37172-3973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Kroser | General Surgery | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Ronnie Lee Jackson | Pulmonary Disease | Northcrest Physician Services Inc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Jessica A Shrock | Nurse Practitioner | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| George Anthony Dahir | Orthopedic Surgery | Northcrest Physician Services Inc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Mark S Sanders | General Surgery | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| William M Lewis | Family Medicine | Northcrest Physician Services Inc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| William F Beauchamp | Orthopedic Surgery | Northcrest Physician Services Inc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Donna R Shell | Internal Medicine | Northcrest Physician Services Inc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Tiffany A Grubbs | Physician Assistant | Surgical Alliance of Middle Tennessee Plc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Stacy Nadler | Nurse Practitioner | Northcrest Physician Services Inc | 417 Northcrest Dr, Springfield, TN 37172-3973 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyra Loraine Sharp | Nurse Practitioner | App of Tennessee Ed Pllc | Northcrest Medical Ctr, 100 Northcrest Drive Emergency Department, Springfield, TN 37172 |
| Shuwanna Teague Redferrin | Clinical Social Worker | 105 5th Ave W, Suite 103, Springfield, TN 37172-2436 | |
| Sharon L Stewart | Nurse Practitioner | 105 5th W Ave, Suite 103, Springfield, TN 37172-2436 | |
| Jason Wayne Wilkerson | Optometry | Drs. Reed and Wilkerson | 506 Willow St, Springfield, TN 37172-2817 |
| David Reed | Optometry | Drs. Reed and Wilkerson | 506 Willow St, Springfield, TN 37172-2817 |
| Deidra D Parrish | Internal Medicine | State of Tennessee | 800 S Brown St, Springfield, TN 37172-2920 |
| Katherine H Cummings | Nurse Practitioner | Minuteclinic Diagnostic of Tennessee PC | 903 Memorial Blvd, Springfield, TN 37172-2932 |
| Kimberly M Ezell | Nurse Practitioner | Minuteclinic Diagnostic of Tennessee PC | 903 Memorial Blvd, Springfield, TN 37172-2932 |
| Robert A Shearer | Obstetrics/gynecology | 801 Hill St, Springfield, Springfield, TN 37172-2951 | |
| Anne Marie Vegas | Physician Assistant | Fast Pace Medical Clinic Pllc | 1609 Jones St, Springfield, TN 37172-3718 |
| Find all physicians in zip 37172 | |||
| City | SPRINGFIELD |
| Zip Code | 37172 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SPRINGFIELD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Keith L 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.