Tyler James Goldbach, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

LL52335 Issued in SC

Practice address

Emergency Medicine Department
14 Medical Park, Ste 350
Columbia, SC 29203

Phone

(803) 434-7088

Fax

(803) 434-3946

NPI assigned

May 14, 2018

Sex

Male

Sole proprietor

No

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 AL

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

Specialty

Emergency Medicine

Education

University of South Alabama College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur Morgan Emergency MedicineGroup PAC ID 0446680862, 24 clinicians

Relias Emergency Medicine Specialists of Regional, LLCGroup PAC ID 9436401106, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Decatur Morgan Emergency Medicine

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1316571615
  Medicare reassignment Care Compare group NPD
• Relias Emergency Medicine Specialists of Regional, LLC

  • Emergency Medicine Physician
  • Tuscaloosa, AL
  • NPI 1619463163
  Medicare reassignment Care Compare group NPD
• Relias Emergency Medicine Specialists of Northport, LLC

  • Emergency Medicine Physician
  • Northport, AL
  • NPI 1699261149
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297
  Care Compare affiliation

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1356831507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EMERGENCY MEDICINE DEPARTMENT",
            "address_2": "14 MEDICAL PARK, STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-7088",
            "fax_number": "803-434-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMERGENCY MEDICINE DEPARTMENT",
            "address_2": "14 MEDICAL PARK, STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-7088",
            "fax_number": "803-434-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBACH",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL52335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashly Goins, MS, ATC
• Felicia L. Goins, DDS
• Raven Nicole Goins
• Shelly K Goins, MSN, APRN FNP-C
• Janet Matenlan Golay
• Golden Glow Skin and Body
• Golden Shields Therapeutic & Community Services LLC
• Golden Shields Therapeutics & Community Services
• Golden Times Home Away From Home
• Keelin Jamaal Golden-Maldonado, FNP

• Emergency Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.