Heather Goldstein, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103347 Issued in NC

Practice address

601 S College Rd
Wilmington, NC 28403-3201

Phone

(910) 962-3280

Fax

(910) 392-4130

NPI assigned

May 20, 2006

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Chicora Medical Group PA

  • Pulmonary Disease Physician
  • Shallotte, NC
  • NPI 1770552119
  NPD (past)
• Coastal Rehabilitation Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wilmington, NC
  • NPI 1851348981
  NPD (past)
• Shallotte Medical Center Inc

  dba Seaside Medical Center

  • Family Medicine Physician
  • Sunset Beach, NC
  • NPI 1538138979
  NPD (past)
• Shallotte Medical Center Inc

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1609845049
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1447204631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033201",
            "telephone_number": "910-962-3280",
            "fax_number": "910-392-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033201",
            "telephone_number": "910-962-3280",
            "fax_number": "910-392-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenleigh Golder
• Goldie Health Inc
• Maggie Goldman, MSW, LCSW
• Bethany Goldsmith
• Ariana Candace Goldstein, MD
• Jessica Goldstein
• Michael S Goldwasser, DDS, MD
• Elizabeth Goll, ANP-C
• Mary Golob, PT DPT
• Taylor Gomes, DC

• Medical Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.