Edward J. Goldman, M.D.,P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D30288 Issued in MD

Legal business name

EDWARD J. GOLDMAN, M.D.,P.A.

Practice address

25 Crossroads Drive
Suite 412
Owings Mills, MD 21117-5439

Phone

(443) 394-6400

Fax

(443) 394-9850

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Edward Jay Goldman

Title

Physician/Owner

Phone

(443) 394-6400

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1255456299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR",
            "address_2": "SUITE 412",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175439",
            "telephone_number": "443-394-6400",
            "fax_number": "443-394-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DRIVE",
            "address_2": "SUITE 412",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175439",
            "telephone_number": "443-394-6400",
            "fax_number": "443-394-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. GOLDMAN, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "443-394-6400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D76229",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D30288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760010100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760010100MD",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KA47",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Owings Mills, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.