Stephen Lewis Goldman, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Practice address

100 NE Adams St
Peoria, IL 61629-1410

Phone

(309) 675-4492

NPI assigned

Apr 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568680643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616291410",
            "telephone_number": "309-675-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616291410",
            "telephone_number": "309-675-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STEPHEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Humes Goff, A.P.N., C.N.M.
• Denise M Goforth, LCSW
• Holly Goins, MSW, LCSW
• Frank Gold, MD
• Daniel Edward Goldenberg, MD
• Gabrielle Goldsberry
• Kelly Goldsmith, DO
• Goldwater Care Peoria Heights LLC
• Joan Golemon, MD
• Thomas Golemon, MD

• Occupational Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Occupational Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.