Active NPI
Dalcoma Pharmacopoeia, LLC
- Neurological Surgery Physician
- Clinton Township, MI
National Provider Identifier
1174103634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- DALCOMA PHARMACOPOEIA, LLC
- Practice address
- 43475 Dalcoma Dr Ste 150
Clinton Township, MI 48038-3594 - Phone
- (586) 421-7440
- Fax
- (248) 281-9955
- NPI assigned
- Apr 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L Goldberger, DO
- Title
- Manager
- Phone
- (248) 320-6101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
43475 Dalcoma Dr Ste 150
Clinton Township, MI 48038-3594
Mailing address
43475 Dalcoma Dr Ste 150
Clinton Township, MI 48038-3594
Phone (586) 421-7440
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617926400000",
"number": "1174103634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43475 DALCOMA DR STE 150",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383594",
"telephone_number": "586-421-7440",
"fax_number": "248-281-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43475 DALCOMA DR STE 150",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383594",
"telephone_number": "586-421-7440",
"fax_number": "248-281-9955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALCOMA PHARMACOPOEIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-06",
"status": "A",
"authorized_official_last_name": "GOLDBERGER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-320-6101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.