Mark Goldberg, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35-085145 Issued in OH

Practice address

36001 Euclid Ave
Suite B-6
Willoughby, OH 44094-4643

Phone

(440) 953-2500

Fax

(440) 953-2772

NPI assigned

May 26, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University Primary Care Physicians

  • Vascular Surgery Physician
  • Chardon, OH
  • NPI 1235252347

  Vascular Surgery

  NPD (past)
• University Primary Care Practices

  • Vascular Surgery Physician
  • Bedford, OH
  • NPI 1235359381

  Vascular Surgery

  NPD (past)
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366498636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74913",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940996",
            "telephone_number": "216-383-6480",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36001 EUCLID AVE",
            "address_2": "SUITE B-6",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944643",
            "telephone_number": "440-953-2500",
            "fax_number": "440-953-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35-085145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2538034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandrea Angelta Gillum
• Sherie Giustiniani
• Cherita M Glanton, LPN
• James Glinatsis
• Kathy Glowe
• Golden Cares LLC
• Ann Gonzalez
• Melissa Gonzalez, CD(DONA)
• Ayyappan Gopalakrishna Pillai, M.D
• Annette Gordon, R.N. CLC

• All providers in Willoughby, OH
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.