Individual provider Active NPI

Stacey Morgan Goldfine, D.O.

  • Adult Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1336134261
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0102207401 Issued in VA
Practice address
2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524
Phone
(757) 351-4585
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101017551 MI
Family Medicine Physician 207Q00000X 05-27916 KS
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 5101017551 MI
Adult Medicine Physician 207QA0505X 0102207401 VA Primary

Addresses

Primary practice location

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524

Mailing address

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524
Phone (757) 351-4585

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102002673 VA Practitioner - Family Practice 9830168061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-27916KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Jun 26, 2023 Accepting new patients
Capital Healthcare PC Dba Allcare Family Medicine Current Accepting new patients
Town Plaza Family Practice LLC Family Medicine Past Accepting new patients
Midwest Medicine Associates LLC Past Accepting new patients

Locations

4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800

Organizations & group practices 4

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1336134261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD STE 450",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528524",
            "telephone_number": "757-351-4585",
            "fax_number": "248-792-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD STE 450",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528524",
            "telephone_number": "757-351-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFINE",
        "first_name": "STACEY",
        "middle_name": "MORGAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101017551",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-27916",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "5101017551",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0102207401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.