Active NPI
Steven Bradley Goldin, MD PHD MPH CPH
- Surgery Physician
- Two Rivers, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 82540
- Practice address
- 5300 Memorial Dr
Two Rivers, WI 54241-3923 - Phone
- (920) 793-7300
- NPI assigned
- Jun 20, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D50663 | FL | |
| Surgical Oncology Physician | 2086X0206X | D50663 | FL | |
| Surgery Physician | 208600000X | 82540 | WI | Primary |
Addresses
Primary practice location
5300 Memorial Dr
Two Rivers, WI 54241-3923
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other practice location 1
18308 Murdock Cir
Unit 105
Port Charlotte, FL 33948-1025
Phone (941) 743-4150
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 998104 | Other | FL | WELLCARE |
| P01343444 | Other | FL | RR MEDICARE |
| 100252615 | Medicaid | WI | |
| 261943100 | Medicaid | MD | |
| 7685148 | Other | FL | AETNA |
| P04478 | Other | FL | FREEDOM |
| P01342438 | Other | FL | RR MEDICARE |
| P203601 | Other | FL | OPTIMUM |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | STEVEN.GOLDIN@hca4.eclinicaldirectplus.com | ||
| Direct Messaging Address | sgoldin385187@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- General Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5300 Memorial Dr
Two Rivers, WI 54241-3923
Phone (920) 793-7300
Hospital & facility affiliations
- Aurora Medical Ctr Manitowoc County
- Aurora Medical Ctr Oshkosh
- Aurora Medical Center Bay Area
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D50663 | FL | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Surgery Center of Port Charlotte LTD | Past | Accepting new patients |
Locations
3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
5300 Memorial Dr
Two Rivers, WI 54241
Phone (920) 793-7300
Interoperability endpoints
- steven.goldin@hca4.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
-
- Urology Physician
- Venice, FL
- NPI 1316127152
-
- Ambulatory Surgical Clinic/Center
- Port Charlotte, FL
- NPI 1679523351
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
-
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1114962248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MEMORIAL DR",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542413923",
"telephone_number": "920-793-7300"
}
],
"practiceLocations": [
{
"address_1": "18308 Murdock Cir",
"address_2": "UNIT 105",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339481025",
"country_code": "US",
"telephone_number": "941-743-4150",
"fax_number": "941-743-4427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDIN",
"first_name": "STEVEN",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "MD PHD MPH CPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "D50663",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "FL",
"license": "D50663",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "82540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "998104",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01343444",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100252615",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261943100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7685148",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P04478",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01342438",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P203601",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "STEVEN.GOLDIN@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "18308 Murdock Cir",
"address_2": "UNIT 105",
"city": "Port Charlotte",
"state": "FL",
"country_code": "US",
"postal_code": "339481025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgoldin385187@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5300 Memorial Dr",
"city": "Two Rivers",
"state": "WI",
"country_code": "US",
"postal_code": "542413923",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "5300 Memorial Dr",
"city": "Two Rivers",
"state": "WI",
"country_code": "US",
"postal_code": "542413923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Two Rivers, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.