Individual provider Active NPI

Philip Mark Goldman, M.D.

  • Emergency Medicine Physician
  • Florence, KY
National Provider Identifier
1164474441
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32101 Issued in KY
Practice address
7649 Plow Share CT
Florence, KY 41042-8067
Phone
(513) 368-6989
Fax
(859) 918-5085
NPI assigned
May 16, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35060870 OH
Emergency Medicine Physician 207P00000X MD44827 AL
Emergency Medicine Physician 207P00000X 32101 KY Primary

Addresses

Primary practice location

7649 Plow Share CT
Florence, KY 41042-8067

Mailing address

7649 Plow Share CT
Florence, KY 41042-8067
Phone (513) 368-6989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090618000121 KY Practitioner - Emergency Medicine 9638073018 Reassigns benefits to 3 organizations
I20221111002200 AL Practitioner - Emergency Medicine 9638073018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Ohio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD44827ALMDEmergency Medicine Physician
32101KYMDEmergency Medicine Physician
35060870OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Emergency Group, LLC Emergency Medicine CurrentSince Oct 2, 2022 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Southeastern Physician Services PC CurrentSince Apr 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 16, 2014 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Jun 18, 2017 Accepting new patients
Meadowview Physician Practice, LLC Current Accepting new patients
Meadowview Physician Practice LLC CurrentSince Jun 18, 2017 Accepting new patients
Health Plus Medical Management, Inc Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Meadowview Regional Medical Center LLC Past Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-8466

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: philip.goldman.1@19475.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1164474441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 PLOW SHARE CT",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428067",
            "telephone_number": "513-368-6989",
            "fax_number": "859-918-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 PLOW SHARE CT",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428067",
            "telephone_number": "513-368-6989",
            "fax_number": "859-918-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "PHILIP",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35060870",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD44827",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "32101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.