MICHAEL H GOLDMAN M.D. NPI 1629060504

NPI Information

NPI: 1629060504
Provider Name: MICHAEL H GOLDMAN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
8316 ARLINGTON BLVD
STE 620
FAIRFAX, VA
ZIP 22031
Phone: (703) 698-5556
Get Directions

Michael H Goldman, M.D. is a cardiovascular disease internal medicine in Fairfax, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Michael H Goldman, M.D. NPI is 1629060504. 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:

8316 ARLINGTON BLVD
STE 620
FAIRFAX, VA
ZIP 22031-204
Phone: (703) 698-5556
Fax: (703) 807-0082

The NPI 1629060504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 3/5/2017.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	0101043150	VIRGINIA	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	428799	OTHER	VIRGINIA	NCPPO (PPO)
2	C74634	MEDICARE UPIN	VIRGINIA
3	203593	OTHER	VIRGINIA	ANTHEM BCBS PPO/HLTH HMO
4	4012492	OTHER	VIRGINIA	AETNA (HMO/POS)
5	54-1825253	OTHER	VIRGINIA	GREAT WEST (PPO)
6	010245001	MEDICAID	VIRGINIA
7	6389467	OTHER	VIRGINIA	CIGNA PPO
8	54-1825253	OTHER	VIRGINIA	TRICARE
9	54-1825253	OTHER	VIRGINIA	UNITED HEALTHCARE HMO PPO
10	1144	OTHER	VIRGINIA	CAREFIRST BCBS (VA/DC)
11	473766	OTHER	VIRGINIA	AETNA US HEALTHCARE PPO
12	832968	OTHER	VIRGINIA	FIRST HEALTH (PPO)
13	428799	OTHER	VIRGIN ISLANDS	UNITED HEALTHCARE/MAMSI
14	523626-01	OTHER	MARYLAND	CAREFIRST BCBS (MD)
15	54-1825253	OTHER	VIRGINIA	CCN/FIRST HEALTH (PPO)
16	54-1825253	OTHER	VIRGINIA	PHCS (PPO)
17	1629060504	MEDICARE PIN	VIRGINIA

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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