Steven E Goldberg, MD
Individual provider Active NPI Cardiovascular Disease Physician · Varnville, SC
NPI 1316937725 · NPPES record last updated Mar 14, 2012
Key facts
- NPI
- 1316937725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD024468E (PA)
- Practice address
- 595 W Carolina Ave
Varnville, SC 29944-4735 - Phone
- (803) 943-7600
- Fax
- (803) 943-7601
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170705002926 | GA | Practitioner - Hospitalist |
0840264560 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartcare Midwest , LTD | Cardiovascular Disease | Past | Accepting new patients |
| Coastal Plains Physician Associates | Past | Accepting new patients | |
| Heartcare Midwest | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD024468E | PA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GU039823 | Other | PA | MEDICARE GROUP |
| 0969498 | Medicaid | PA |
Other providers in Varnville, SC
- Alfare Fields
- Vera Fields
- Constance Forester
- Norvia M Frazier
- Tracy Garner
- Jenna Gossett
- Victoria Griffis
- Virginia Hairston
- Hampton County Chiropractic LLC
- Hampton County Disabilities and Special Needs Board
All providers in Varnville, SC · Cardiovascular Disease Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.