Active NPI
Robert Adam Goldsteen, DO
- Internal Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1083676266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36721
- Practice address
- 4591 Socastee Blvd
Myrtle Beach, SC 29588-7209 - Phone
- (843) 497-5929
- Fax
- (866) 778-9611
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DO36721 | SC | |
| Internal Medicine Physician | 207R00000X | 36721 | SC | Primary |
Addresses
Primary practice location
4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Mailing address
PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO36721 | SC | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1083676266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3439",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295820439",
"telephone_number": "843-839-4447",
"fax_number": "843-399-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4591 SOCASTEE BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887209",
"telephone_number": "843-497-5929",
"fax_number": "866-778-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEEN",
"first_name": "ROBERT",
"middle_name": "ADAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "DO36721",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "36721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.