Active NPI
Lisa Ann Goldberg, COTA
- Contractor
- Cincinnati, OH
National Provider Identifier
1235425117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- COTA-04159
- Practice address
- 7609 Edgemont Rd
Cincinnati, OH 45237-2607 - Phone
- (513) 939-5342
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | COTA-04159 | OH | Primary |
Addresses
Primary practice location
7609 Edgemont Rd
Cincinnati, OH 45237-2607
Mailing address
7609 Edgemont Rd
Cincinnati, OH 45237-2607
Phone (513) 939-5342
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COTA-04159 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1235425117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7609 EDGEMONT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452372607",
"telephone_number": "513-939-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7609 EDGEMONT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452372607",
"telephone_number": "513-939-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "COTA-04159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.