Ken Evan Goldstein, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000671 Issued in VA

Practice address

400D Hospital Dr
Warrenton, VA 20186-3026

Phone

(540) 347-9393

Fax

(540) 347-9398

NPI assigned

Nov 29, 2005

Last updated

Sep 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Jay Goldstein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warrenton, VA
  • NPI 1174058689

  DC

  Medicare reassignment
• Ernest P Luczkowski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beckley, WV
  • NPI 1457764375

  DC

  Medicare reassignment
• Heather Lee Wilson, DPM

  • Podiatrist
  • Sarasota, FL
  • NPI 1689899981

  VA

  Medicare reassignment

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.

• Ken E Goldstein

  • Foot & Ankle Surgery Podiatrist
  • Warrenton, VA
  • NPI 1871856658
  Authorized official Same address or phone

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1174506620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400D HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-347-9393",
            "fax_number": "540-347-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400D HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-347-9393",
            "fax_number": "540-347-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KEN",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9302158",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina C Moore MD PLC (Womens Care of Warrenton)
• Denise Leanne Glasser, PHARMD
• Mackenzie Hamilton Glassmacher, FNP-BC
• Michelle R Glowicki, PA C
• Brittany Goldman
• Steven Jay Goldstein, DPM
• Michelle Goloborodko Birjandian, NCC; LPC
• Gregory S Golub, MD
• Carmen T Gonzalez, PHD
• Chad Renard Gonzalez

• Foot & Ankle Surgery Podiatrist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.

Verify at the official NPI Registry.