Keith R Goldstein D P M P a

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 2436 Issued in FL

Legal business name

KEITH R GOLDSTEIN D P M P A

Practice address

7634 Spring Bay CV
Orlando, FL 32819-7207

Phone

(407) 509-8852

Fax

(407) 363-6816

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Keith Roy Goldstein, D.P.M.NPI 1639235765

Title

President

Phone

(407) 509-8852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Goldstein, D.P.M.

  • Podiatrist
  • Orlando, FL
  • NPI 1639235765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1568762979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 SPRING BAY CV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197207",
            "telephone_number": "407-509-8852",
            "fax_number": "407-363-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 SPRING BAY CV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197207",
            "telephone_number": "407-509-8852",
            "fax_number": "407-363-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH R GOLDSTEIN D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-509-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Jean Keilly, CRNA
• Kenneth S. Keister, ATC,
• Keith a Gray MD PA
• Keith G Kanter DDS PA
• Tationna Sanai Keith Jackson
• Faustina Keke
• Hadi Kelani
• Alexis Keller
• Andrew Keller, MD
• Christine Keller

• Podiatrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.