Active NPI
Robert Arlin Goldenberg, MD
- Otology & Neurotology Physician
- Dayton, OH
National Provider Identifier
1831179514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 35034453
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404 - Phone
- (937) 641-3000
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 35034453 | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404
Mailing address
1 Childrens PLZ
Dayton, OH 45404-1873
Phone (937) 641-3000
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311777214 | Other | COVENTANT FAMILY | |
| 0297692 | Other | BCMH | |
| 311777214 | Other | AARP | |
| 50217 | Other | HEALTHSOURCE | |
| 0297692 | Medicaid | OH | |
| 1000560 | Other | EVERCARE | |
| D3445303 | Other | HUMANA CHOICE CARE | |
| 311777214 | Other | DIRECT CARE AMERICA | |
| 311777214 | Other | FIRST HEALTH | |
| 000000211218 | Other | ANTHEM | |
| 100302 | Other | DAYMED | |
| 2597202 | Other | AETNA | |
| 311777214 | Other | CIGNA | |
| 311777214 | Other | CREATIVE HEALTH | |
| 311777214030 | Other | CARESOURCE | |
| 311777214 | Other | GEHA | |
| 311777214 | Other | HEALTH SERVICES PREFERRED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35034453 | OH | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Dayton Head and Neck Surgeons | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Nurse First Assistant
- Dayton, OH
- NPI 1477793156
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1831179514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041873",
"telephone_number": "937-641-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "45404",
"telephone_number": "937-641-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "ROBERT",
"middle_name": "ARLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "OH",
"license": "35034453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTANT FAMILY",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0297692",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "50217",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0297692",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "1000560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA CHOICE CARE",
"identifier": "D3445303",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIRECT CARE AMERICA",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000211218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAYMED",
"identifier": "100302",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2597202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREATIVE HEALTH",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311777214030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEHA",
"identifier": "311777214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SERVICES PREFERRED",
"identifier": "311777214",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.