DAVID D GOLDBERG D.O. NPI 1578563128

NPI Information

NPI: 1578563128
Provider Name: DAVID D GOLDBERG, D.O.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
3033 KETTERING BLVD
SUITE 100
MORAINE, OH
ZIP 45439
Phone: (937) 293-2133
Get Directions

David D Goldberg, D.O. is an addiction medicine family medicine in Moraine, OH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. David D Goldberg, D.O. NPI is 1578563128. 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:

3033 KETTERING BLVD
SUITE 100
MORAINE, OH
ZIP 45439-962
Phone: (937) 293-2133
Fax: (937) 293-2161

The enumeration date for this NPI number is 7/26/2005 and was last updated on 8/16/2011.

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	207Q00000X	Family Medicine		34-00-2116G	OHIO	No
2	207QA0401X	Family Medicine	Addiction Medicine	34-00-2116G	OHIO	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	000000226414	OTHER	OHIO	ANTHEM
2	0379907	MEDICARE PIN	OHIO
3	0203998	MEDICAID	OHIO
4	0379906	MEDICARE PIN	OHIO
5	A74304	MEDICARE UPIN

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

NPI Synchronization or Removal

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