Active NPI
Orin M. Goldblum, M.D.
- Dermatology Physician
- Pittsburgh, PA
National Provider Identifier
1174525588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD032230E
- Practice address
- 256 Merion Dr
Pittsburgh, PA 15228-2349 - Phone
- (412) 343-3636
- Fax
- (412) 343-3636
- NPI assigned
- Aug 15, 2005
- Reactivated
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD032230E | PA | Primary |
Addresses
Primary practice location
256 Merion Dr
Pittsburgh, PA 15228-2349
Mailing address
256 Merion Dr
Pittsburgh, PA 15228-2349
Phone (412) 343-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD032230E | PA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610755200000",
"number": "1174525588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 MERION DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152282349",
"telephone_number": "412-343-3636",
"fax_number": "412-343-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 MERION DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152282349",
"telephone_number": "412-343-3636",
"fax_number": "412-343-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBLUM",
"first_name": "ORIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"deactivation_date": "2013-01-02",
"reactivation_date": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD032230E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.