Individual provider Active NPI

Steve Eric Goldwasser, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • St Augustine, FL
National Provider Identifier
1467427633
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME80864 Issued in FL
Practice address
300 Health Park Blvd Ste 5010
St Augustine, FL 32086-3705
Phone
(904) 533-6686
Fax
(904) 533-6787
NPI assigned
Feb 21, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME80864 FL Primary

Addresses

Primary practice location

300 Health Park Blvd Ste 5010
St Augustine, FL 32086-3705

Mailing address

309 Plaza
Atlantic Beach, FL 32233-5441
Phone (904) 535-4104

Other identifiers 2

IdentifierTypeStateIssuer
000876356AMedicaidGA
259352100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000557 FL Practitioner - Obstetrics/GynecologyPractitioner - Urology 0840207130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Health Park Blvd
Suite 5010
St Augustine, FL 32086-3705
Phone (904) 535-4104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME80864FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldwasser Urogynecology PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Jul 28, 2025 Accepting new patients
SGMD, PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Aug 12, 2025 Accepting new patients
Jjamm2 LLC Current Accepting new patients
Florida Urogynecology and Reconstructive Pelvic Surgery PA Past Accepting new patients

Locations

1301 Plantation Island Dr S
Ste 103
Saint Augustine, FL 32080
Phone (904) 461-5330

300 Health Park Blvd
Ste 5010
St Augustine, FL 32086
Phone (904) 808-0406

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEJDD/Endpoint/GJEJDD
  • Direct secure messaging: sgoldwasser114378@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1467427633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PLAZA",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335441",
            "telephone_number": "904-535-4104",
            "fax_number": "904-533-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD STE 5010",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863705",
            "telephone_number": "904-533-6686",
            "fax_number": "904-533-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWASSER",
        "first_name": "STEVE",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME80864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876356A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259352100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.