Stanley Morton Goldberg, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

13851 Issued in MN

Practice address

6363 France Ave S
Suite 212
Edina, MN 55435-2129

Phone

(651) 312-1700

Fax

(952) 920-4148

NPI assigned

Aug 4, 2006

Last updated

Sep 11, 2007By the provider in NPPES

Sex

Male

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

Doctor of Medicine

State licenses

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.

• Colon & Rectal Surgery Associates LTD

  • Colon & Rectal Surgery Physician
  • Minneapolis, MN
  • NPI 1376596775
  NPD (past)
• Pelvic Floor Center, LLC

  • Colon & Rectal Surgery Physician
  • Minneapolis, MN
  • NPI 1538107743
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1740298538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTGATE DR",
            "address_2": "SUITE 190",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141065",
            "telephone_number": "651-312-1520",
            "fax_number": "651-312-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S",
            "address_2": "SUITE 212",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352129",
            "telephone_number": "651-312-1700",
            "fax_number": "952-920-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STANLEY",
        "middle_name": "MORTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MN",
            "license": "13851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Nicole Goeppner, OD
• John C Goffigan, M.D.
• Sarah Gokey, MA, LMFT
• Jay Ezra Gold, LICSW, LADC
• Eric Lawrence Goldberg, MD
• Daniel Goldman, PH.D.
• Davida Z. Goldman, PH.D., L.P.
• Maryann Goldstein, MD
• Bennett Ezra Goltz, P.A.-C
• Jonathan Gombola, M.D.

• Colon & Rectal Surgery Physician in Edina, MN
• Providers in Edina, MN by specialty
• Colon & Rectal Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.