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MARK D GOLDBERG MD PC NPI 1841482601


NPI Information

NPI: 1841482601
Provider Name: MARK D GOLDBERG, MD, PC

Doing Business As: VELDA ROSE MEDICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5252 E MAIN ST
MESA, AZ
ZIP 85205
Phone: (480) 396-3222
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MARK D GOLDBERG, MD, PC is a clinic center in Mesa, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARK D GOLDBERG, MD, PC NPI is 1841482601. The provider is registered as an organization entity type.
The provider Is Doing Business As Velda Rose Medical Center.

The provider's business location address is:

5252 E MAIN ST
MESA, AZ
ZIP 85205-022
Phone: (480) 396-3222
Fax: (480) 396-2298

The provider's authorized official is Mark D Goldberg .
The authorized official title is Medical Directr and has the following contact phone number (480) 396-3222.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 9/8/2020.


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
1261Q00000XClinic/Center18592ARIZONAYes

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
1348260MEDICAIDARIZONA
2F000274MEDICAIDARIZONA
3298704MEDICAIDARIZONA

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: 5/5/2024

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