Michele Sara Goldberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D5611281 Issued in CA

Practice address

409 W 400 S
Salt Lake City, UT 84101-1135

Phone

(801) 364-0058

Fax

(801) 359-4568

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1912212846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W 400 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011135",
            "telephone_number": "801-364-0058",
            "fax_number": "801-359-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W 400 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011135",
            "telephone_number": "801-364-0058",
            "fax_number": "801-359-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MICHELE",
        "middle_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "D5611281",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9881082-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Gae Goldberg-Stiers
• Aaron S. Goldberg, D.D,S
• Anne Freed Goldberg, LCSW
• Ellen E Goldberg, MSW, CSW
• Keren Goldberg
• Golden Care Therapy Utah LLC
• Golden Health LLC
• Golden Living Taylorsville Management LLC (Golden Living Taylorsville)
• Golden Spark Counseling
• Golden Touch ABA Ut, LLC

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.