Heidi Goldberg MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0053509 Issued in FL

Legal business name

HEIDI GOLDBERG MD PA

Practice address

9555 Seminole Blvd Ste 201
Seminole, FL 33772-2523

Phone

(813) 269-2422

Fax

(813) 269-2441

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Susan Colborne

Title

Operations Manager

Phone

(813) 269-2422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Goldberg

  • Gastroenterology Physician
  • Seminole, FL
  • NPI 1346353059
  Medicare reassignment NPD

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1396932596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 201",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722523",
            "telephone_number": "813-269-2422",
            "fax_number": "813-269-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 201",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722523",
            "telephone_number": "813-269-2422",
            "fax_number": "813-269-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI GOLDBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "COLBORNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "813-269-2422"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0053509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Rose Harvey, PA-C
• Joseph Haynes, R.PH.
• Health First Primary Care, L.L.C
• Healthy Inside & Out LLC
• Paige Heckel
• Kelsey Victoria Helland
• Martin Thatcher Heller
• Morgan Marie Hellstern, LMHC, BIRTH DOULA
• Debra Ferguson Hemsath, M.D.
• Randolph Heinrich Hemsath, M.D.

• 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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.