Edward L Goldblatt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5717 Issued in AL

Practice address

5000 Southlake Park
Suite 2250
Birmingham, AL 35244-3265

Phone

(205) 982-2500

Fax

(205) 982-2574

NPI assigned

Jun 23, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01I0
• bcbs alabama network 01B0
• bcbs alabama network 01A0
• bcbs alabama network 01H0
• bcbs alabama network 01E0
• bcbs alabama network 01G0
• bcbs alabama network 01C0

Interoperability endpoints

• Direct secure messaging: egoldblatt599779@direct.ochin.org

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.

• Whatley Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Tuscaloosa, AL
  • NPI 1063422756
  Medicare reassignment NPD
• Your Kids Urgent Care Alabama

  • Pediatrics Physician
  • Vestavia Hills, AL
  • NPI 1306404777
  Medicare reassignment NPD
• Whatley Health Services, Inc.

  • Community/Retail Pharmacy
  • Tuscaloosa, AL
  • NPI 1477276749
  NPD
• Southlake Pediatrics, Inc.

  • Pediatrics Physician
  • Birmingham, LA
  • NPI 1144315250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1033145834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SOUTHLAKE PARK",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443265",
            "telephone_number": "205-982-2500",
            "fax_number": "205-982-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SOUTHLAKE PARK",
            "address_2": "SUITE 2250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443265",
            "telephone_number": "205-982-2500",
            "fax_number": "205-982-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "5717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933335",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2643487",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "C76681",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004080329",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51516976",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moheb Ashraf Emeel Gohar, MBBCH
• Megan Goins, MD
• Mustafa Goksel, M.D.
• Howard Mark Goldberg, M.D.
• Jonathan Goldberg
• Mary Madeline Golden Howard, AGACNP-BC
• Golden Wings Sitting Service., LLC.
• Lacey Golden, PA
• Roger Dale Golden, RRT
• Tabitha Lauren Golden, LPC

• Pediatrics Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.