Glenn Robert Goldfarb, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15212 Issued in WV

Practice address

2345 Chesterfield Ave
Suite 303
Charleston, WV 25304-1064

Phone

(304) 343-0149

Fax

(304) 343-2587

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Medical College of Georgia School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Summit BHC West Virginia, LLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1801411905
  Medicare reassignment NPD
• Summit BHC West Virginia LLC

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336
  NPD
• Highland Hospital Association

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1497706659
  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1679536627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 CHESTERFIELD AVE",
            "address_2": "SUITE 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041062",
            "telephone_number": "304-343-0149",
            "fax_number": "304-343-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 CHESTERFIELD AVE",
            "address_2": "SUITE 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041064",
            "telephone_number": "304-343-0149",
            "fax_number": "304-343-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "GLENN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "15212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089743000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Gold
• Jordan Jeffrey Gold, CRNA
• Ellyn Goldberg
• Arianna Elizabeth Golden
• Rachel Golden, PRSS
• Shenna Goldizen
• Rebecca Elizabeth Goldsmith, PHARMD
• Toni Goldsmith
• Ashlee Gollihue
• Joshua Thomas Golub

• Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.