Paul Jay Goldman, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E8262 Issued in TX

Practice address

1650 W Rosedale St Ste 100
Fort Worth, TX 76104-7400

Phone

(817) 338-1131

Fax

(817) 877-1511

NPI assigned

Mar 29, 2007

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10436/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fort Worth Diagnostic Clinic PA

  • Specialist
  • Fort Worth, TX
  • NPI 1669665774
  Medicare reassignment NPD Authorized official
• American Visiting Doctors LLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1710268305

  Multi-Specialty

  Medicare reassignment NPD
• Healthcare Liaison Services, LLC

  dba Doctors Home Visits

  • General Practice Physician
  • Dallas, TX
  • NPI 1881943116

  Multi-Specialty

  Medicare reassignment NPD
• Home Visiting Doctors Management LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1699076794

  Multi-Specialty

  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Multi-Specialty

  Medicare reassignment NPD
• Paul J. Goldman,MD Diagnostic Clinic

  • Internal Medicine Physician
  • Granbury, TX
  • NPI 1376792390

  Multi-Specialty

  NPD Authorized official
• Weatherford Inpatient Physician Association, P. a.

  • Internal Medicine Physician
  • Weatherford, TX
  • NPI 1518906429

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1053430975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-338-1131",
            "fax_number": "817-877-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-338-1131",
            "fax_number": "817-877-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "PAUL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E8262",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E8262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083588601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Bert Golden, M.D.
• Laura Elizabeth Golden, OTD, OTR/L
• Sonya Golden
• Stephanie R Golden, LPC
• Vernistene Golden, LCSW
• Carolyn B Goldsmith, EDD LPC-S LMFT-S
• Stephanie Goldstein, MD
• Nikoleta Golemi, DO
• Cathy Renee Golladay, PA-C
• Timothy T. Gollaher, CRNA

• Emergency Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.