Simeon E Goldblum, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

D35863 Issued in MD

Practice address

22 S Greene St
Baltimore, MD 21201-1544

Phone

(410) 706-5504

Fax

(410) 706-5508

NPI assigned

Apr 19, 2006

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1215992789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-706-5504",
            "fax_number": "410-706-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-706-5504",
            "fax_number": "410-706-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLUM",
        "first_name": "SIMEON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D35863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280201500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "351846-02 & 01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4426930",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Svetlana Goldberg, APRN
• Zipporah Goldberg, OTR/L
• Shlomo Goldberger, LMSW
• Nancy R Goldblatt, LCSWC
• Rebecca Rose Goldblum, PHD
• Golden Age Inn
• Golden Assisted Living LLC
• Golden Child ABA LLC
• Golden Days Medical Day Care Inc
• Golden Era Wellness Center LLC

• Infectious Disease Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Infectious Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.