| Goldberg, Rosenstein, Khan & Forman, M.d.pa. | |
|
7505 Osler Drive Suite 502 Towson MD 21204 | |
| (410) 296-4210 | |
| (410) 296-1489 |
| Full Name | Goldberg, Rosenstein, Khan & Forman, M.d.pa. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7505 Osler Drive, Towson, Maryland |
| Authorized Official Name and Position | Andrew Rosenstein (PRESIDENT) |
| Authorized Official Contact | 4102964210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldberg, Rosenstein, Khan & Forman, M.d.pa. 7505 Osler Drive Suite 502 Towson MD 21204 Ph: (410) 296-4210 | Goldberg, Rosenstein, Khan & Forman, M.d.pa. 7505 Osler Drive Suite 502 Towson MD 21204 Ph: (410) 296-4210 |
| NPI Number | 1942497151 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/17/2016 |
| Medicare PECOS PAC ID | 5799851077 |
|---|---|
| Medicare Enrollment ID | O20080910000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942497151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Maryland) | Primary |
| Provider Name | John Wesolowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962440255 PECOS PAC ID: 3779485206 Enrollment ID: I20040330001573 |
| Provider Name | Danielle R Boggio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194721712 PECOS PAC ID: 6002808953 Enrollment ID: I20040331001194 |
| Provider Name | Aminur R Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114009263 PECOS PAC ID: 9133033459 Enrollment ID: I20040414001206 |
| Provider Name | Andrew H Rosenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275615486 PECOS PAC ID: 8325952641 Enrollment ID: I20040414001370 |
| Provider Name | Donald W Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891778510 PECOS PAC ID: 4981691466 Enrollment ID: I20040427001143 |
| Provider Name | Kwan L Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659373173 PECOS PAC ID: 4688663628 Enrollment ID: I20040506001104 |
| Provider Name | Jaime Mocca |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699772038 PECOS PAC ID: 0840273504 Enrollment ID: I20040611001307 |
| Provider Name | Michelle H Duell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982604773 PECOS PAC ID: 1153220983 Enrollment ID: I20040622000611 |
| Provider Name | Robyn C Cooke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124026281 PECOS PAC ID: 4082694898 Enrollment ID: I20040722000682 |
| Provider Name | Margaret Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962409607 PECOS PAC ID: 0840270237 Enrollment ID: I20040726000260 |
| Provider Name | Heather L Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366426207 PECOS PAC ID: 8820087877 Enrollment ID: I20050728001013 |
| Provider Name | Mary K Browning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689683245 PECOS PAC ID: 6204889090 Enrollment ID: I20060105000671 |
| Provider Name | Boaz Y Leung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770520967 PECOS PAC ID: 5092720128 Enrollment ID: I20060727000059 |
| Provider Name | Meika P Boyce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316141419 PECOS PAC ID: 8325149982 Enrollment ID: I20080103000194 |
| Provider Name | Michael M Broussard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043491921 PECOS PAC ID: 2860573334 Enrollment ID: I20080123000082 |
| Provider Name | Sabrina L Nelson-winters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093997439 PECOS PAC ID: 9133206725 Enrollment ID: I20080407000536 |
| Provider Name | Joshua S Forman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093801763 PECOS PAC ID: 7012084379 Enrollment ID: I20080929000300 |
| Provider Name | Shannon Q Hagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295974343 PECOS PAC ID: 9234283920 Enrollment ID: I20090814000221 |
| Provider Name | Ann Dumonchelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023344645 PECOS PAC ID: 1850436452 Enrollment ID: I20100308000309 |
| Provider Name | Tierney M O Connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508195215 PECOS PAC ID: 2668508276 Enrollment ID: I20100407000042 |
| Provider Name | Pei Yu K Watts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508155730 PECOS PAC ID: 2860677176 Enrollment ID: I20110502000653 |
| Provider Name | Joyce Ann Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871812982 PECOS PAC ID: 4183811979 Enrollment ID: I20111017000476 |
| Provider Name | Joseph O Udeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225305840 PECOS PAC ID: 5092974683 Enrollment ID: I20120319000367 |
| Provider Name | Vanessa L Kelkar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417234626 PECOS PAC ID: 2163682345 Enrollment ID: I20120326000474 |
| Provider Name | Daniel J Sennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295070662 PECOS PAC ID: 2264687821 Enrollment ID: I20130305000210 |
| Provider Name | James Novick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184664807 PECOS PAC ID: 1456321959 Enrollment ID: I20130511000008 |
| Provider Name | Jamie B Walters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093966897 PECOS PAC ID: 4688817604 Enrollment ID: I20130823000475 |
| Provider Name | Adnan R Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942469770 PECOS PAC ID: 1254574429 Enrollment ID: I20130909000275 |
| Provider Name | Kara L Gerstmyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588086516 PECOS PAC ID: 5698907624 Enrollment ID: I20140407000548 |
| Provider Name | Amy K Borth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447541065 PECOS PAC ID: 7416189964 Enrollment ID: I20140415001525 |
| Provider Name | Joachim Gomes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386902823 PECOS PAC ID: 2466617360 Enrollment ID: I20140702000728 |
| Provider Name | Laura Zimmermand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447648332 PECOS PAC ID: 7719203744 Enrollment ID: I20150310000181 |
| Provider Name | Thea Koltz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215328521 PECOS PAC ID: 8527386556 Enrollment ID: I20150423000148 |
| Provider Name | Candice E Swerdlow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588054266 PECOS PAC ID: 4486973385 Enrollment ID: I20150427001591 |
| Provider Name | Yvette Ansumana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114319712 PECOS PAC ID: 6800115155 Enrollment ID: I20150507001836 |
| Provider Name | Johnny Cardell Gayden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205225331 PECOS PAC ID: 1951606540 Enrollment ID: I20160218002177 |
| Provider Name | Melissa L Hindle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598153736 PECOS PAC ID: 8123339330 Enrollment ID: I20160321001282 |
| Provider Name | Nathalie Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417316357 PECOS PAC ID: 0840581278 Enrollment ID: I20160621000427 |
| Provider Name | Darrel C Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063767200 PECOS PAC ID: 2062663974 Enrollment ID: I20161003000242 |
| Provider Name | Lashaya Lyn Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336544410 PECOS PAC ID: 9638493364 Enrollment ID: I20180731002534 |
| Provider Name | Mary Grace Renfrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801372800 PECOS PAC ID: 2163773557 Enrollment ID: I20180925000391 |
| Provider Name | Leila Adhiambo Otieno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063646206 PECOS PAC ID: 4385905207 Enrollment ID: I20190212001992 |
| Provider Name | Joseph S Giba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457811622 PECOS PAC ID: 3779818026 Enrollment ID: I20190710000275 |
| Provider Name | Carlyn Bonny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013578111 PECOS PAC ID: 1658608146 Enrollment ID: I20190806003614 |
| Provider Name | Ann R Madden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699327304 PECOS PAC ID: 7416284336 Enrollment ID: I20200818000706 |
| Provider Name | Danielle Ott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366909699 PECOS PAC ID: 2163757105 Enrollment ID: I20200909000349 |
| Provider Name | Martha Wachenheim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558891697 PECOS PAC ID: 4981977592 Enrollment ID: I20210907000195 |
| Provider Name | Michelle Mcloughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588809933 PECOS PAC ID: 2961566948 Enrollment ID: I20210907000260 |
Walter B Koppel Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Lasalle Rd, Suite #202, Towson, MD 21286 Phone: 443-279-0330 Fax: 443-279-0334 | |
Nze Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7801 York Rd Ste 200, Towson, MD 21204 Phone: 443-288-0980 Fax: 443-288-0981 | |
Linda A Lee, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 Kenilworth Dr, Suite 206, Towson, MD 21204 Phone: 410-321-1082 | |
Trina Kapoor Frankel Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7600 Osler Dr Ste 113, Towson, MD 21204 Phone: 410-296-4040 Fax: 410-510-1680 | |
Towson Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 York Rd, Suite 102, Towson, MD 21204 Phone: 410-769-4920 Fax: 410-296-4205 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-4480 | |
University Of Maryland Pediatric Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-328-8670 Fax: 410-337-0425 |