Leonard Ray Goldfarb, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

2004030335 Issued in MO

Practice address

915 N Grand Blvd
VA Medical Center
Saint Louis, MO 63106-1621

Phone

(314) 652-4100

NPI assigned

Jun 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730117102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 CRAIG CT",
            "address_2": "APT. 431",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465293",
            "telephone_number": "314-989-9144",
            "fax_number": "314-289-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD",
            "address_2": "VA MEDICAL CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-652-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "LEONARD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MO",
            "license": "2004030335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly I Goldenberg, PT
• Linda W Goldenberg, FNP
• Lori B Goldenberg, LCSW
• Rivka Goldenhersh, DMD
• Charles A Goldfarb, MD
• Devon N Golding, MD
• Kaci Megan Goldinher, M.A., LPC
• Jennifer Goldkamp, M.D.
• William Joseph Goldkamp, MD
• Lisa Goldman, PSYD, MS

• Nuclear Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nuclear Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.