Individual provider Active NPI

Stuart M Goldman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1316996044
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01444 Issued in MD
Practice address
4000 Old Court Rd
Suite 301
Baltimore, MD 21208
Phone
(410) 235-2345
NPI assigned
May 9, 2006
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01444 MD Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO0001483 FL

Addresses

Primary practice location

4000 Old Court Rd
Suite 301
Baltimore, MD 21208

Mailing address

4000 Old Court Rd Ste 301
Pikesville, MD 21208-6417
Phone (410) 235-2345

Other identifiers 1

IdentifierTypeStateIssuer
87694OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000886 FL Practitioner - Podiatry 0941263081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0001483FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Orlando Foot and Ankle Clinic, Inc Foot & Ankle Surgery Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 180
Boca Raton, FL 33487
Phone (561) 939-0600

1905 Clint Moore Rd
Ste 310
Boca Raton, FL 33496
Phone (561) 241-4880

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

Interoperability endpoints

  • Direct secure messaging: stuart.goldman@smgdp-md.direct.office.nextgen.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1316996044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD STE 301",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086417",
            "telephone_number": "410-235-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-235-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STUART",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01444",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0001483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "87694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.