Individual provider Active NPI

Tatyana Goldman, M.D.

  • Neurology Physician
  • Waynesburg, PA
National Provider Identifier
1710053798
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD430410 Issued in PA
Practice address
245 Elm Dr
Waynesburg, PA 15370-8275
Phone
(724) 231-2053
NPI assigned
Nov 28, 2006
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD430410 PA Primary

Addresses

Primary practice location

245 Elm Dr
Waynesburg, PA 15370-8275

Mailing address

52 Rocklynn PL
Mt Lebanon, PA 15228-1829
Phone (412) 341-2053

Other practice location 1

633 W Germantown Pike Ste 105
Plymouth Meeting, PA 19462-1032
Phone (610) 941-6881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070103000307 PA Practitioner - NeurologyPractitioner - Psychiatry 0345240065 Reassigns benefits to 2 organizations
Practice locations: Canonsburg, PA; Waynesburg, PA
I20210315001866 AZ Practitioner - Neurology 0345240065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Phone (928) 681-8570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Apr 3, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Einstein Practice Plan, Inc. Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 1, 2021 Accepting new patients
Einstein Practice Plan, Inc. Neurology CurrentSince Apr 3, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 1, 2021 Accepting new patients
Upmc Altoona Regional Health Services, Inc Neurology CurrentSince Apr 1, 2020 Accepting new patients
Adult Neurology Center, PC PastSince Jan 3, 2005 Accepting new patients
Kingman Healthcare, Inc Past Accepting new patients

Locations

3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3801 Santa Rosa Dr
Ste 300
Kingman, AZ 86401
Phone (928) 681-8744

3801 Santa Rosa Dr
Fl 3
Kingman, AZ 86401
Phone (928) 681-8745

1400 9th Ave
Altoona, PA 16602
Phone (814) 941-8811

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

5401 Old York Rd
#A
Phila, PA 19141

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5401 Old York Rd
Ste 400
Philadelphia, PA 19141
Phone (215) 324-3399

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

633 W Germantown Pike
Ste 105
Plymouth Mtng, PA 19462
Phone (610) 941-6799

Interoperability endpoints

  • Direct secure messaging: goldman.tatyana@direct.azkrmc.md

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1710053798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ROCKLYNN PL",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281829",
            "telephone_number": "412-341-2053",
            "fax_number": "412-223-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ELM DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708275",
            "telephone_number": "724-231-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 W Germantown Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621032",
            "country_code": "US",
            "telephone_number": "610-941-6881",
            "fax_number": "610-941-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD430410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.