Sheldon J Goldstein, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901000581 Issued in MI

Practice address

3560 Pontiac Lake Rd
Waterford, MI 48328-2337

Phone

(248) 674-2575

Fax

(248) 674-0577

NPI assigned

Aug 19, 2006

Last updated

May 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Great Lakes Podiatry Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Waterford, MI
  • NPI 1316393309
  Authorized official Same address or phone
• All Sport Physical Therapy

  • Physical Therapist
  • Madison Heights, MI
  • NPI 1982720298
  NPD (past)
• MVP Diagnostic Laboratory LLC

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1912513185
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1386758852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282337",
            "telephone_number": "248-674-2575",
            "fax_number": "248-674-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282337",
            "telephone_number": "248-674-2575",
            "fax_number": "248-674-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "SHELDON",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "480F317540",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418790",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4273392",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul M. Gold, D.O.
• Bradley Dean Goldberg, O.D.
• Jill Meredith Goldberg, OD
• Goldinno Healthcare Corp
• Marilyn Barbara Goldman, M.D.
• Sonia Maria Gonzalez
• Good Samaritan Healthcare Staffing Agency LLC.
• Brady Margaret Goode, LLMSW
• Zachary Paul Goodman
• Deanna Goodwin, C.M.T.

• Foot & Ankle Surgery Podiatrist in Waterford, MI
• Providers in Waterford, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.