Thomas Alan Goldenberg, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

5775 Issued in NV

Practice address

961 Mica Dr
Carson City, NV 89705-7269

Phone

(775) 267-6700

Fax

(775) 267-6609

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1548246440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 MONTEREY DR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506729",
            "telephone_number": "530-318-9903",
            "fax_number": "530-541-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MICA DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057269",
            "telephone_number": "775-267-6700",
            "fax_number": "775-267-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NV",
            "license": "5775",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Giron
• Grace Gleason, APN
• Marshall Harrison Gledhill, CADC-I
• Carlos Glines, PT, DPT, CSCS
• Robert Daniel Glodowski, RPH
• Golla Home
• Golla Home
• Jack Gary Golla, QBA
• Jean Caroline Golla, QBA
• Bailey Michelle Gonzales, CADC, PRSS-S

• Gynecology Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.