NPIMap

Individual provider Active NPI

John Paul Goltschman, MD

  • Ophthalmology Physician
  • Florissant, MO
National Provider Identifier
1740366517
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MO35266 Issued in MO
Practice address
900 N Hwy 67
Florissant, MO 63031
Phone
(314) 838-0300
Fax
(314) 838-4682
NPI assigned
Oct 27, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MO35266 MO Primary

Addresses

Primary practice location

900 N Hwy 67
Florissant, MO 63031

Mailing address

900 N Hwy 67
Florissant, MO 63031
Phone (314) 838-0300

Other identifiers 12

IdentifierTypeStateIssuer
132399OtherEYEMED VISION CARE
41681OtherGROUP HEALTH PLAN
5692540002OtherCIGNA
20496OtherBCBS
10291OtherESSENCE HEALTHCARE
105982OtherMERCY HEALTH PLANS
12464OtherOPTICARE EYE HEALTH NETWO
1438823OtherUNITED HEALTHCARE
008203OtherEXCLUSIVE CHOICE FMH BENE
104596OtherHEALTHLINK
964416OtherAETNA
33665OtherCOORDINATED VISION CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MO35266MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Eye Surgery Center of North County LLC Past Accepting new patients
Novamed Eye Surgery Center of North County, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1740366517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-838-0300",
            "fax_number": "314-838-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-838-0300",
            "fax_number": "314-838-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLTSCHMAN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "MO35266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "132399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "41681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5692540002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE HEALTHCARE",
            "identifier": "10291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "105982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE EYE HEALTH NETWO",
            "identifier": "12464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1438823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CHOICE FMH BENE",
            "identifier": "008203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "104596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "964416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED VISION CARE",
            "identifier": "33665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.