DR. RICHARD IAN GOLDBERGER M.D. NPI 1154317121

NPI Information

NPI: 1154317121
Provider Name: DR. RICHARD IAN GOLDBERGER, M.D.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

PECOS Registration: Yes

Address:
5106 N ARMENIA AVE
SUITE 4
TAMPA, FL
ZIP 33603
Phone: (813) 875-0074
Get Directions

DR. Richard Ian Goldberger, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Tampa, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Richard Ian Goldberger, M.D. NPI is 1154317121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5106 N ARMENIA AVE
SUITE 4
TAMPA, FL
ZIP 33603-433
Phone: (813) 875-0074
Fax: (813) 878-0186

The NPI 1154317121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	ME34601	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D50904	MEDICARE UPIN	FLORIDA
2	04029	OTHER	FLORIDA	BCBS
3	04029	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	0624143	OTHER	FLORIDA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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