Cincinnati Digestive Disease Associates Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CINCINNATI DIGESTIVE DISEASE ASSOCIATES INC

Doing business as

Stephen J Goldberg MD

Practice address

6350 E Galbraith Rd
Cincinnati, OH 45236-2354

Phone

(513) 686-5444

Fax

(513) 686-5443

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Goldberg, MD

Title

President

Phone

(513) 686-5444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen J Goldberg MD Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1831217975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8686",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452080686",
            "telephone_number": "513-686-5444",
            "fax_number": "513-686-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362354",
            "telephone_number": "513-686-5444",
            "fax_number": "513-686-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI DIGESTIVE DISEASE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-686-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen J Goldberg MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.