Paul J. Goldman,MD Diagnostic Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PAUL J. GOLDMAN,MD DIAGNOSTIC CLINIC

Practice address

1310 Paluxy Rd
Granbury, TX 76048-5655

Phone

(615) 928-6268

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jay Goldman, M.D.NPI 1053430975

Title

Physician

Phone

(817) 338-1131

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fort Worth Diagnostic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Worth Diagnostic Clinic PA

  • Specialist
  • Fort Worth, TX
  • NPI 1669665774
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Jay Goldman, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1053430975

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1376792390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-338-1131",
            "fax_number": "817-877-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "615-928-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Rosedale St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047400",
            "country_code": "US",
            "telephone_number": "817-338-1131",
            "fax_number": "817-877-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAUL J. GOLDMAN,MD DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-338-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083588601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Len Parrino, LVN
• Pat a. Thomas, D.O., P.a.
• Payal Patel, DPM
• Hannah Patterson, MPAS, PA-C
• Saloni Sharma Paudel, D.O.
• Corey Patrick Pavelka, LCSW
• PCG Consulting, Inc.
• Pearl Dentures and Dental Care, PLLC
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• Pecan Prescription Shop LLC

• Internal Medicine Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.