Paul B Goldberg, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME36213 Issued in FL

Practice address

1070 N Stone St
Suite D
Deland, FL 32720-0919

Phone

(386) 822-9410

Fax

(386) 469-0045

NPI assigned

May 8, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1225087240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST",
            "address_2": "SUITE D",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200919",
            "telephone_number": "386-822-9410",
            "fax_number": "386-469-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST",
            "address_2": "SUITE D",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200919",
            "telephone_number": "386-822-9410",
            "fax_number": "386-469-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME36213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269725400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEI #",
            "identifier": "593256803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert G Gilliland, D.C.
• Katherine Glancy, MSW
• Samuel Glaubiger, M.D.
• Angella M. Glidden-Wood, M.D.
• Sabrina Gohlke, LCSW
• Golden Meals Group LLC
• Brianna Golden, PHARMD
• Liliana Gomez
• William Gonzalez
• Good Samaritan Clinic of West Volusia, Inc.

• Specialist in Deland, FL
• Providers in Deland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.