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DR. DAVID TODD GOLDENBERG MD NPI 1417170432


NPI Information

NPI: 1417170432
Provider Name: DR. DAVID TODD GOLDENBERG, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Organization: RETINAL CONSULTANTS OF ARIZONA LTD

PECOS Registration: Yes

Address:
1101 E MISSOURI AVE
PHOENIX, AZ
ZIP 85014
Phone: (602) 222-2221
Get Directions

DR. David Todd Goldenberg, MD is an ophthalmology in Phoenix, AZ with 21 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. David Todd Goldenberg, MD NPI is 1417170432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1101 E MISSOURI AVE
PHOENIX, AZ
ZIP 85014-709
Phone: (602) 222-2221
Fax: (602) 266-2044

The NPI 1417170432 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 4/10/2007 and was last updated on 3/26/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology41482ARIZONAYes
2207W00000XOphthalmology4301089370MICHIGANNo
3207WX0107XOphthalmologyRetina Specialist41482ARIZONANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138-1946761OTHERMICHIGANGRP TAX ID
25192486MEDICAIDMICHIGAN
3436752MEDICAIDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.