Individual provider Active NPI

William W. Goldsmith, DO

  • Anesthesiology Physician
  • Pensacola, FL
National Provider Identifier
1720080500
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS9352 Issued in FL
Practice address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone
(850) 477-7042
Fax
(850) 474-9060
NPI assigned
Aug 11, 2005
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS9352 FL Primary

Addresses

Primary practice location

4901 Grande Dr
Pensacola, FL 32504-5935

Mailing address

4901 Grande Dr
Pensacola, FL 32504-5935
Phone (850) 477-7042

Other identifiers 6

IdentifierTypeStateIssuer
009990715MedicaidAL
01551OtherFLBLUECROSS & BLUESHIELD
P00307277OtherMEDICARE RAILROAD
272226700MedicaidFL
N134OtherFLHEALTH FIRST NETWORK
591-77578OtherALBLUECROSS & BLUESHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WILLIAM.GOLDSMITH@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, GA, VA, TX, SC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040401001783 TN Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9638161227 Reassigns benefits to 1 organization
I20050506000091 FL Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9638161227 Reassigns benefits to 3 organizations
I20160722001522 GA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9638161227 Reassigns benefits to 1 organization
I20160819002018 VA Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 9638161227 Reassigns benefits to 1 organization
I20170104001753 TX Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 9638161227 Reassigns benefits to 1 organization
I20200325001747 SC Practitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 9638161227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Robert Lee Harrell III MD PCGroup PAC ID 4082007182, 5 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

2211 Widener Ter
Wellington, FL 33414-6427
Phone (561) 358-4282

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (615) 372-7205

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4559

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Intensivists at Gulf Coast, PLLC CurrentSince Jul 9, 2018 Accepting new patients
Robert Lee Harrell III MD PC CurrentSince Sep 1, 2022 Accepting new patients
Ams Sacred Heart LLC Anesthesiology CurrentSince Oct 1, 2012 Accepting new patients

Locations

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

Interoperability endpoints

  • Direct secure messaging: william.goldsmith@hca6.eclinicaldirectplus.com

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 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1720080500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "WILLIAM",
        "middle_name": "W.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS9352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009990715",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUESHIELD",
            "identifier": "01551",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00307277",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272226700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST NETWORK",
            "identifier": "N134",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUESHIELD",
            "identifier": "591-77578",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WILLIAM.GOLDSMITH@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4901 Grande Dr",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325045935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.