Mark C Goldberg, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

18426 Issued in AZ

Legal business name

MARK C GOLDBERG, MD PC

Doing business as

Camp Lowell Cardiology

Practice address

4790 E Camp Lowell Dr
Tucson, AZ 85712-1275

Phone

(520) 319-5922

Fax

(520) 319-6128

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Mark C Goldberg, M.D.NPI 1700804366

Title

Director

Phone

(520) 319-5922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Camp Lowell Cardiology Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Charles Goldberg, M.D.

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1700804366
  Medicare reassignment NPD Authorized official
• Marivic Ashcroft, NP

  • Family Nurse Practitioner
  • Nogales, AZ
  • NPI 1740663509
  Medicare reassignment NPD
• Jennifer Meree Canez, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1265934939
  Medicare reassignment NPD
• Karma Selina Carty, MSN, APRN, FNP- C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1700495306
  Medicare reassignment NPD
• Jessica Hoffman, NURSE PRACTIONER

  • Adult Medicine Physician
  • Tucson, AZ
  • NPI 1962589002
  Medicare reassignment NPD
• Jacqueline Kieft, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1932799152
  Medicare reassignment NPD
• Jeffrey Stephen Klein, NP

  • Gerontology Nurse Practitioner
  • Tucson, AZ
  • NPI 1972212801
  Medicare reassignment NPD
• Kelly Majors

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1790233013
  Medicare reassignment NPD
• Breana Maynard, FNP-BC

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1861127763
  Medicare reassignment NPD

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1881874949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121275",
            "telephone_number": "520-319-5922",
            "fax_number": "520-319-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121275",
            "telephone_number": "520-319-5922",
            "fax_number": "520-319-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C GOLDBERG, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-319-5922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "18426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z118782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Lowell Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyon Marion, O.D.
• Mariposa Therapies of Tucson, LLC
• Marisela Frances Mariscal, MD
• Norma Linda Mariscal
• Mark Bessette, MD, PC
• Mark C Senese MD PC
• Mark Counseling, LLC
• Mark Ira Feldman, M D P C
• Mark Maklin DMD
• Mark Youth and Family Care Campus Inc.

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.