Heidi Goldberg

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0053509 Issued in FL

Practice address

9555 Seminole Blvd
Ste 201
Seminole, FL 33772-2562

Phone

(727) 393-6881

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

State licenses

Practice roles

Locations

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

• Heidi Goldberg MD PA

  • Gastroenterology Physician
  • Seminole, FL
  • NPI 1396932596
  Medicare reassignment NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1346353059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15809 PENNINGTON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241582",
            "telephone_number": "813-960-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "STE 201",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-393-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0053509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Gibbons, LCSW
• Christine Gibree
• Mera Reda Girgiss, DMD
• Lauren Mott Godfrey, PT, DPT
• Jenna Danielle Godwin, D.M.D.
• Pedro Gonzalez Enoa
• Good Caws LLC
• Barry M Gootson, O.D.
• Christine S Gordon, LMT, CNMT, NCTMB
• John Mark Gordon, P.T.

• Gastroenterology Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.