Russell S Goldberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00020625 Issued in WA

Practice address

13014 120TH Ave NE
Kirkland, WA 98034-3015

Phone

(425) 821-8004

NPI assigned

Jul 25, 2006

Last updated

Apr 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.goldberg@direct.vmmc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  dba Virginia Mason Medical Center-Cardiology

  • Cardiovascular Disease Physician
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• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Dermatology

  • Dermatology Physician
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  dba Virginia Mason Medical Center-Registered Dietitians

  • Registered Dietitian
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• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Orthopedic Surgery

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1316094816
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• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Pulmonology Infectious Disease

  • Pulmonary Disease Physician
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• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Audiology

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• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Neurosurgery

  • Neurological Surgery Physician
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• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Urology & Renal Transplant

  • Urology Physician
  • Seattle, WA
  • NPI 1588712376
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The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1962425462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MS M4-PA",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-583-6025",
            "fax_number": "206-515-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13014 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343015",
            "telephone_number": "425-821-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "RUSSELL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00020625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Scot Godbout, LMP, CN
• Rochelle Godin
• Brian O Goertz, MD
• David A Goetz, M.S. LMHC
• Rebecca M Gogel
• Golden Cottage Afh. Inc.
• Michael P Golden, MD
• Laura G Goldstein, M.D.
• Rachel Golike
• Michael A Golitz, OD

• Internal Medicine Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.