Goldenberg & Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOLDENBERG & ASSOCIATES

Practice address

5003 N Illinois St Ste 2
Fairview Heights, IL 62208-3419

Phone

(618) 233-5000

Fax

(618) 233-5040

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Shabbir A ShaikhNPI 1053337568

Title

President

Phone

(618) 233-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Surgical Clinic Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shabbir A Shaikh, MD

  • Internal Medicine Physician
  • Fairview Heights, IL
  • NPI 1053337568
  Medicare reassignment NPD Authorized official
• Srinivasarao C Yaganti, M.D.

  • Hospitalist Physician
  • Belleville, IL
  • NPI 1245252972

  Internal Medicine

  NPD
• Jeremy David Hunter, DC

  • Chiropractor
  • O Fallon, IL
  • NPI 1912297532
  NPD (past)
• Amanda Kurtz, D.C.

  • Chiropractor
  • Fairview Heights, IL
  • NPI 1639579071
  NPD (past)
• Michael Scott Lister, D.C.

  • Chiropractor
  • Fairview Heights, IL
  • NPI 1902103310
  NPD (past)
• Kathleen Marie Roche, D.C.

  • Chiropractor
  • Fairview Heights, IL
  • NPI 1942323191
  NPD (past)
• Melinda Raye Turner, D.C.

  • Chiropractor
  • Fairview Heights, IL
  • NPI 1679888960
  NPD (past)
• Katherine Harris, DC

  • Chiropractor
  • Worthington, OH
  • NPI 1811373517
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1679599104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 N ILLINOIS ST STE 2",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083419",
            "telephone_number": "618-233-5000",
            "fax_number": "618-233-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 N ILLINOIS ST STE 2",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083419",
            "telephone_number": "618-233-5000",
            "fax_number": "618-233-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENBERG & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SHABBIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-233-5000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0008215157",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Surgical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Gibson, APRN FNP-C
• Malik Yusef Giddens, RBT
• Rachael Lyna Gillis, RBT
• Jennifer Glispie, PMHNP
• Golden Rule Counseling, PLLC
• Kasey Gooch, OT
• Theresa Goscinski
• Grant Community School District 110
• Aliyah Green
• Jennifer Michelle Green, SLP

• Internal Medicine Physician in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.