Paul Goldshlack DO PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

PG007284 Issued in MI

Legal business name

PAUL GOLDSHLACK DO PC

Practice address

1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1800

Phone

(517) 484-4095

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Alan Goldshlack, DO

Title

President

Phone

(517) 484-4095

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1124211131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488050492",
            "telephone_number": "517-484-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 500",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-484-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL GOLDSHLACK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSHLACK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-484-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "PG007284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "1153311384",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111869414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick H Noud MD PLC
• Lauren N Patrick, MD
• Maria Jevitz Patterson, M.D.
• Taylor Patterson, DO
• Victoria Lynn Patton, FNP-C
• Paul L Rashid DMD
• Paul M. Flynn, DDS, PC
• Madison Paul
• Sophia Paulun
• Jade Pavich

• Cardiovascular Disease Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.