Active NPI
Ronald Goldner, M.D.
- Dermatology Physician
- Baltimore, MD
National Provider Identifier
1346233228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0003589
- Practice address
- 405 W Redwood St
6TH Floor
Baltimore, MD 21201-7005 - Phone
- (410) 328-5766
- Fax
- (410) 328-0098
- NPI assigned
- Aug 25, 2005
- Last updated
- Oct 1, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0003589 | MD | Primary |
Addresses
Primary practice location
405 W Redwood St
6TH Floor
Baltimore, MD 21201-7005
Mailing address
405 W Redwood St
6TH Floor
Baltimore, MD 21201-7005
Phone (410) 328-5766
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00616041 | Other | RAILROAD MEDICARE PTAN | |
| 114311501 | Medicaid | MD | |
| 32150001 | Other | MD | CAREFIRST MARYLAND |
| S045-0011 | Other | DC | BLUE SHIELD FEP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0003589 | MD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1346233228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W REDWOOD ST",
"address_2": "6TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212017005",
"telephone_number": "410-328-5766",
"fax_number": "410-328-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W REDWOOD ST",
"address_2": "6TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212017005",
"telephone_number": "410-328-5766",
"fax_number": "410-328-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDNER",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0003589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00616041",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114311501",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "32150001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD FEP",
"identifier": "S045-0011",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.