Active NPI
Jack Goldman, M.D.
- Internal Medicine Physician
- Auburn, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00017877
- Practice address
- 101 2ND St NE
Auburn, WA 98002-4902 - Phone
- (253) 833-3650
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00017877 | WA | Primary |
| Specialist | 174400000X | MD00017877 | WA |
Addresses
Primary practice location
101 2ND St NE
Auburn, WA 98002-4902
Mailing address
33634 7TH PL SW
Federal Way, WA 98023-5004
Phone (253) 833-3650
Other practice location 1
30809 1st Ave S
Federal Way, WA 98003-4074
Phone (253) 839-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730100 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3733 S Thompson Ave
Tacoma, WA 98418-5013
Phone (253) 472-4473
803 E Main St
Auburn, WA 98002-5628
Phone (253) 833-3650
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Auburn Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017877 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betteridge & McNaughton PS Inc | Family Medicine | Current | Accepting new patients |
| Jack Golman, MD | Internal Medicine | Past | Accepting new patients |
Locations
3733 S Thompson Ave
Tacoma, WA 98418
Phone (206) 472-4473
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- jack.goldman@973744416882692.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1457552770
-
- Internal Medicine Physician
- Aubun, WA
- NPI 1639218613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1023065539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33634 7TH PL SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980235004",
"telephone_number": "253-833-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 2ND ST NE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980024902",
"telephone_number": "253-833-3650"
}
],
"practiceLocations": [
{
"address_1": "30809 1st Ave S",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980034074",
"country_code": "US",
"telephone_number": "253-839-2030",
"fax_number": "253-839-1071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JACK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00017877",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00017877",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730100",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.