Michael H. Goldberg, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101030490 Issued in VA

Practice address

8134 Old Keene Mill Rd
Suite 300
Springfield, VA 22152-1800

Phone

(703) 451-6111

Fax

(703) 451-6247

NPI assigned

Feb 27, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1366418733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD",
            "address_2": "SUITE 300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521800",
            "telephone_number": "703-451-6111",
            "fax_number": "703-451-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD",
            "address_2": "SUITE 300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521800",
            "telephone_number": "703-451-6111",
            "fax_number": "703-451-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101030490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006379613",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "541168250",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Glossman McGraw, LCSW
• Keyannah Glover, NP
• Ashtyn Godbois
• Danielle Goldberg
• Marilyn Jean Goldberg, OTR
• Goldye P Donner PC
• Katryna Stout Golian, DDS
• Regina Margarita Gomez
• Stephanie Gonzalez Diaz
• Good Samaritan Home Health Care Agency LLC

• Ophthalmology Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.