Grady Goldberg, PA-C
Physician Assistant, Surgical in South Weymouth, Massachusetts
1760099378- Practice location
- 55 Fogg RD, South Weymouth, MA 02190-2455
- Phone
- 781-624-8000
- Fax
- —
- Last updated
- March 7, 2022
Grady Goldberg is a Physician Assistant, Surgical based in South Weymouth, MA. Grady Goldberg practices in South Weymouth, MA and has the professional credentials of PA-C. The NPI Number for Grady Goldberg is 1760099378. The current practice location address for Grady Goldberg is 55 Fogg RD, South Weymouth, MA 02190-2455 and can be reached out via phone at 781-624-8000.
Provider Profile Details
- NPI Number
- 1760099378
- Provider Name
- Grady Goldberg
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Fogg RD, South Weymouth, MA 02190-2455
- Phone Number
- 781-624-8000
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 28, 2020
- Last Update Date
- March 7, 2022
- Certification Date
- January 20, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fogg RD
South Weymouth, MA 02190-2455 - City
- South Weymouth
- State
- Massachusetts
- Zip
- 02190-2455
- Phone Number
- 781-624-8000
Provider Business Mailing Address Details
- Address
- 66 Leland RD
Marshfield, MA 02050-5124 - City
- Marshfield
- State
- MA
- Zip
- 02050-5124
License Information
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near South Weymouth, MA
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- Jonathan Mogen, MDProvider · NPI 1932496619
- Michael J WoglomStudent in an Organized Health Care Education/Training Program · NPI 1730095340
Frequently Asked Questions
What is the NPI number of Grady Goldberg, PA-C?
The NPI number of Grady Goldberg, PA-C is 1760099378. It was assigned on September 28, 2020 and is currently active in the NPPES registry.
What is the specialty of Grady Goldberg, PA-C?
Grady Goldberg, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).
Where does Grady Goldberg, PA-C practice?
The practice location is 55 Fogg RD, South Weymouth, MA 02190-2455. The office can be reached at 781-624-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760099378 directly on the NPPES registry website.