Active NPI
Stacey Morgan Goldfine, D.O.
- Adult Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1336134261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 0102207401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-27916 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Healthcare PC | Current | 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.
-
- Primary Care Clinic/Center
- Alexandria, VA
- NPI 1811239627
-
- Family Medicine Physician
- Woodbridge, VA
- NPI 1407162076
-
- Internal Medicine Physician
- Belton, MO
- NPI 1750338448
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1972543494
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.