NPIMap

Organization Active NPI

Cynthia Goldman S.C.

  • Internal Medicine Physician
  • Calumet City, IL
National Provider Identifier
1407082332
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036111093 Issued in IL
Legal business name
CYNTHIA GOLDMAN S.C.
Practice address
1600 167TH St
Suite 700
Calumet City, IL 60409-5457
Phone
(708) 832-0947
Fax
(708) 862-8613
NPI assigned
Jun 5, 2009
Last updated
Jun 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Cynthia Goldman, M.D.NPI 1447246111
Title
Owner
Phone
(708) 832-0947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036111093 IL Primary

Addresses

Primary practice location

1600 167TH St
Suite 700
Calumet City, IL 60409-5457

Mailing address

PO Box 1159
South Holland, IL 60473-7159

National Provider Directory

National Provider Directory

Locations

1600 167th St
Ste 700
Calumet City, IL 60409
Phone (708) 832-0947

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1407082332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1159",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604737159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 167TH ST",
            "address_2": "SUITE 700",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095457",
            "telephone_number": "708-832-0947",
            "fax_number": "708-862-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA GOLDMAN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-832-0947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036111093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.