Active NPI
Stuart H Goldstein, DO
- Surgery Physician
- Pulaski, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0102049996
- Practice address
- 101 1St St NW Ste 2
Pulaski, VA 24301-5605 - Phone
- (540) 509-5269
- Fax
- (540) 980-0515
- NPI assigned
- Sep 8, 2005
- Last updated
- Jul 22, 2020
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0102049996 | VA | Primary |
Addresses
Primary practice location
101 1St St NW Ste 2
Pulaski, VA 24301-5605
Mailing address
101 1St St NW Ste 2
Pulaski, VA 24301-5605
Phone (540) 509-5269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010159199 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 1St St NW
Suite 2
Pulaski, VA 24301-5605
Phone (540) 577-4882
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 92 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 57 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Surgical Associates, Inc. | Surgery | Current | Accepting new patients |
| Lebanon Surgical Associates | Surgery | Past | Accepting new patients |
Locations
101 1st St NW
Ste 2
Pulaski, VA 24301
Phone (540) 577-4882
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBDBCD/Endpoint/GBDBCD
Organizations & group practices 2
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.
-
- Surgery Physician
- Pulaski, VA
- NPI 1023647476
-
- Surgery Physician
- Lebanon, VA
- NPI 1194733832
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewisgale Hospital Pulaski
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
dba LewisGale Hospital Pulaski
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1326032178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 1ST ST NW STE 2",
"city": "PULASKI",
"state": "VA",
"postal_code": "243015605",
"telephone_number": "540-509-5269",
"fax_number": "540-980-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 1ST ST NW STE 2",
"city": "PULASKI",
"state": "VA",
"postal_code": "243015605",
"telephone_number": "540-509-5269",
"fax_number": "540-980-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "STUART",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0102049996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010159199",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.
- 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.