GLEN R. GOLDFARB M.D. – NPI #1548255151
Otolaryngology

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

GLEN GOLDFARB is an otolaryngologist located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1548255151 to GLEN GOLDFARB on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck

The NPI profile was previously updated about 10 years ago on Nov 04, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLEN GOLDFARB below.

NPI Profile for
GLEN R. GOLDFARB

NPI Number
1548255151
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLEN R. GOLDFARB
Credentials
M.D.
Primary location
620 10TH STREET N.
SAINT PETERSBURG, FL 33705-1407
Phone: (727) 824-8375 Fax: (727) 824-7140
Mailing address
PO BOX 12868
ST PETERSBURG, FL 33733-2868
Phone: (727) 824-8357 Fax: (727) 824-3132
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLEN GOLDFARB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL261168600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck (Primary)
FL ME66028

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.