Active NPI
Ronald S Goldberg, MD PHD
- Specialist
- Lacey, WA
National Provider Identifier
1659378941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00017869
- Practice address
- 4525 3Rd Ave SE
Ste 200
Lacey, WA 98503-1010 - Phone
- (360) 412-8909
- Fax
- (360) 412-8954
- NPI assigned
- Jul 1, 2005
- 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 | MD00017869 | WA | Primary |
Addresses
Primary practice location
4525 3Rd Ave SE
Ste 200
Lacey, WA 98503-1010
Mailing address
4525 3Rd Ave SE
Ste 200
Lacey, WA 98503-1010
Phone (360) 412-8909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054675 | Medicaid | WA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Medical Physicians | Current | Accepting new patients | |
| Capital Oncology PLLC | Past | Accepting new patients | |
| Argus Oncology LLC | Past | Accepting new patients |
Locations
923 Georgiana St
Port Angeles, WA 98362
Phone (360) 457-4496
433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373
Organizations & group practices 3
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.
-
- Oncology Clinic/Center
- Auburn, WA
- NPI 1326249541
-
- Family Medicine Physician
- Port Angeles, WA
- NPI 1427081967
-
- Hematology & Oncology Physician
- Olympia, WA
- NPI 1720109457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659378941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE",
"address_2": "STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-412-8909",
"fax_number": "360-412-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE",
"address_2": "STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-412-8909",
"fax_number": "360-412-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00017869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1054675",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.