Individual provider Active NPI

Steven E Goldberg, MD

  • Cardiovascular Disease Physician
  • Varnville, SC
National Provider Identifier
1316937725
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD024468E Issued in PA
Practice address
595 W Carolina Ave
Varnville, SC 29944-4735
Phone
(803) 943-7600
Fax
(803) 943-7601
NPI assigned
Oct 26, 2005
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD024468E PA Primary

Addresses

Primary practice location

595 W Carolina Ave
Varnville, SC 29944-4735

Mailing address

595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 943-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20170705002926 GA Practitioner - HospitalistPractitioner - Internal Medicine 0840264560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plains Physician Associates Past Accepting new patients
Heartcare Midwest Past Accepting new patients
Heartcare Midwest , LTD Cardiovascular Disease Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1316937725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444735",
            "telephone_number": "803-943-7600",
            "fax_number": "803-943-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444735",
            "telephone_number": "803-943-7600",
            "fax_number": "803-943-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD024468E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

Verify at the official NPI Registry.