Active NPI
Stephen Leon Goldman, M.D.
- Colon & Rectal Surgery Physician
- Seattle, WA
National Provider Identifier
1225080161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 12620
- Practice address
- 1229 Madison St
Suite 1410
Seattle, WA 98104-3586 - Phone
- (206) 386-2300
- Fax
- (206) 386-2303
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 12620 | WA | Primary |
Addresses
Primary practice location
1229 Madison St
Suite 1410
Seattle, WA 98104-3586
Mailing address
PO Box 50150
Bellevue, WA 98015-0150
Phone (425) 228-5228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16311 | Other | WA | L&I |
| G370 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12620 | WA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1225080161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980150150",
"telephone_number": "425-228-5228",
"fax_number": "425-228-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 MADISON ST",
"address_2": "SUITE 1410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043586",
"telephone_number": "206-386-2300",
"fax_number": "206-386-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "STEPHEN",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "WA",
"license": "12620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "16311",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "G370",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.