Individual provider Active NPI

Edwin G. Goldstein, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1326037037
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6891 Issued in AZ
Practice address
1111 E McDowell Rd
Department of Medical Imaging, Good Samaritan Hospital
Phoenix, AZ 85006-2612
Phone
(602) 239-4850
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6891 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
Department of Medical Imaging, Good Samaritan Hospital
Phoenix, AZ 85006-2612

Mailing address

4043 E Solano Dr
Phoenix, AZ 85018-1144
Phone (602) 840-0882

Other identifiers 1

IdentifierTypeStateIssuer
240375MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Diagnostic Imaging LLC Past Accepting new patients
Banner Imaging Associates PLC Diagnostic Radiology Past Accepting new patients
Associated Radiologists LTD PastSince Jan 1, 1991 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Desert Open MRI LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1326037037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 E SOLANO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181144",
            "telephone_number": "602-840-0882",
            "fax_number": "602-840-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "address_2": "DEPARTMENT OF MEDICAL IMAGING, GOOD SAMARITAN HOSPITAL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-239-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "EDWIN",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "6891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240375",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.