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EDWARD GOLDBERG LLC NPI 1174980577


NPI Information

NPI: 1174980577
Provider Name: EDWARD GOLDBERG LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
99 N BRICE RD
STE 300
COLUMBUS, OH
ZIP 43213
Phone: (614) 726-0596
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EDWARD GOLDBERG LLC is an interventional pain medicine pain medicine in Columbus, OH. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. EDWARD GOLDBERG LLC NPI is 1174980577. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

99 N BRICE RD
STE 300
COLUMBUS, OH
ZIP 43213-519
Phone: (614) 726-0596
Fax: (614) 547-6811

The provider's authorized official is Edward Aron Goldberg .
The authorized official title is Owner and has the following contact phone number (408) 348-2234.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 4/14/2016.


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
12084N0400XPsychiatry & NeurologyNeurologyNo
22084P2900XPsychiatry & NeurologyPain MedicineNo
32084S0012XPsychiatry & NeurologySleep MedicineNo
4208VP0000XPain MedicinePain MedicineNo
5208VP0014XPain MedicineInterventional Pain MedicineYes

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
10156457MEDICAIDOHIO
2H377520MEDICARE PINOHIO

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

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