Evgeny Goldman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME127007 Issued in FL

Practice address

6100 Hollywood Blvd Ste 300
Hollywood, FL 33024-7982

Phone

(844) 665-4827

NPI assigned

Jul 5, 2012

Last updated

Aug 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1184989139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "address_2": "300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247982",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011513",
            "country_code": "US",
            "telephone_number": "706-571-1120",
            "fax_number": "706-571-1603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Clyde Morris Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142765",
            "country_code": "US",
            "telephone_number": "386-425-4165",
            "fax_number": "386-425-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "EVGENY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME127007",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "05727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Manor Assisted Living Facility 1
• Golden Manor Assisted Living Facility2
• Golden Medical Center Inc.
• Gary L Goldfaden, M.D.
• Allan Golding, MD
• Jennifer Michelle Goldman, D.O.
• Lexa Goldman, LMHC, LMFT
• Terry Jan Goldman, D.P.M.
• Emily Goldstein, D.D.S.
• Noah Joseph Goldstein

• Family Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.