Individual provider Active NPI

William Goldstein, MD

  • Anesthesiology Physician
  • Havertown, PA
National Provider Identifier
1164416822
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD027057E Issued in PA
Practice address
2010 Old West Chester Pike
Suite 330
Havertown, PA 19083-2712
Phone
(610) 789-8070
Fax
(610) 789-9937
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD027057E PA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD027057E PA

Addresses

Primary practice location

2010 Old West Chester Pike
Suite 330
Havertown, PA 19083-2712

Mailing address

PO Box 660024
Dallas, TX 75266-0024
Phone (610) 789-8070

Other identifiers 3

IdentifierTypeStateIssuer
097961U0UOtherNJMEDICARE
MD027057EOtherPALICENSE FOR PA
00B064H14OtherDEMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20080815000117 PA Practitioner - Anesthesiology 1153235122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD027057EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients
Premier Anesthesia of Florida LLC Anesthesiology PastSince Jan 19, 2020 Accepting new patients
Haverford Anesthesia Associates-NJ, P.C. Anesthesiology PastSince Nov 25, 2005 Accepting new patients
Pinnacle Mid-Atlantic Pain Medicine, PC Anesthesiology PastSince Apr 30, 2003 Accepting new patients
Center for Pain Medicine PC Pain Medicine PastSince Jan 1, 2003 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Mar 7, 2011 Accepting new patients

Locations

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

2010 W Chester Pike
Ste 212
Havertown, PA 19083
Phone (610) 853-7700

2010 W Chester Pike
Ste 330
Havertown, PA 19083
Phone (610) 789-9815

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1164416822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660024",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660024",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE",
            "address_2": "SUITE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD027057E",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD027057E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "097961U0U",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR PA",
            "identifier": "MD027057E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00B064H14",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.