Active NPI
Eric K Hammerberg, M.D.
- Specialist
- Wheat Ridge, CO
National Provider Identifier
1427234046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16589
- Practice address
- 4485 Wadsworth Blvd
Ste 301
Wheat Ridge, CO 80033-3318 - Phone
- (303) 825-3759
- Fax
- (303) 825-7003
- NPI assigned
- Jan 14, 2008
- Last updated
- Feb 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16589 | CO | Primary |
Addresses
Primary practice location
4485 Wadsworth Blvd
Ste 301
Wheat Ridge, CO 80033-3318
Mailing address
4485 Wadsworth Blvd
Ste 310
Wheat Ridge, CO 80033-3318
Phone (303) 825-3759
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01165893 | Medicaid | CO | |
| COB4250 | Other | CO | PTAN GROUP |
| COB4250 | Other | CO | PTAN INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16589 | CO | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheldon Goldberg MD PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Wheat Ridge, CO
- NPI 1790854412
-
- Physical Medicine & Rehabilitation Physician
- Thornton, CO
- NPI 1891982583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1427234046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 WADSWORTH BLVD",
"address_2": "STE 310",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800333318",
"telephone_number": "303-825-3759",
"fax_number": "303-825-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 WADSWORTH BLVD",
"address_2": "STE 301",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800333318",
"telephone_number": "303-825-3759",
"fax_number": "303-825-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMERBERG",
"first_name": "ERIC",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "16589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01165893",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN GROUP",
"identifier": "COB4250",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN INDIVIDUAL",
"identifier": "COB4250",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.