Abe F. Goldbaum M.D., S.C.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

34054 Issued in WI

Legal business name

ABE F. GOLDBAUM M.D., S.C.

Practice address

2901 W KK River Pkwy
Ste 106,
Milwaukee, WI 53215-3677

Phone

(414) 649-7710

NPI assigned

Oct 19, 2006

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abe Frank Goldbaum, M.D.NPI 1285693648

Title

President

Phone

(262) 366-1929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abe Frank Goldbaum, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1285693648
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1447332887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 MEADOWBROOK RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881394",
            "telephone_number": "262-366-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W KK RIVER PKWY",
            "address_2": "STE 106,",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153677",
            "telephone_number": "414-649-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABE F. GOLDBAUM M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "GOLDBAUM",
        "authorized_official_first_name": "ABE",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-366-1929",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WI",
            "license": "34054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33337700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Christina Abdullah, LPC
• Muneebah Abdullah, LPC
• Nicole Abdullah
• Nyairah Shana Abdullah
• Mohamed Ahmed Abdullahi
• Sameem M Abedin, MD
• Matejka Raylyn Abeita
• Vincent A Abejuela, DO
• Theresa D Abelew, LPC, ATR-P
• Abelovington Health Care

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.