Organization Active NPI

Ellice K Goldberg-Zirinsky, DO PC

Doing business as Family Health Care Center

  • Family Medicine Physician
  • Arvada, CO
National Provider Identifier
1780880419
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELLICE K GOLDBERG-ZIRINSKY, DO PC
Doing business as
Family Health Care Center
Practice address
12001 W 63Rd Place
Arvada, CO 80004
Phone
(303) 423-1360
Fax
(303) 423-1640
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Ellice Kay Goldberg, DO
Title
Physician
Phone
(303) 423-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12001 W 63Rd Place
Arvada, CO 80004

Mailing address

12001 W 63Rd Place
Arvada, CO 80004
Phone (303) 423-1360

Other identifiers 1

IdentifierTypeStateIssuer
89035062MedicaidCO

Other names 1

  • Family Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1780880419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 W 63RD PLACE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-423-1360",
            "fax_number": "303-423-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 W 63RD PLACE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-423-1360",
            "fax_number": "303-423-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICE K GOLDBERG-ZIRINSKY, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ELLICE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-423-1360",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89035062",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.