Maryann Goldstein, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

32462 Issued in MN

Practice address

2 Circle W
Edina, MN 55436-1313

Phone

(952) 925-5410

Fax

(952) 925-9753

NPI assigned

Sep 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284249600000",
    "number": "1770890774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CIRCLE W",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361313",
            "telephone_number": "952-925-5410",
            "fax_number": "952-925-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CIRCLE W",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361313",
            "telephone_number": "952-925-5410",
            "fax_number": "952-925-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARYANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "32462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "32462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Ezra Gold, LICSW, LADC
• Eric Lawrence Goldberg, MD
• Stanley Morton Goldberg, MD
• Daniel Goldman, PH.D.
• Davida Z. Goldman, PH.D., L.P.
• Bennett Ezra Goltz, P.A.-C
• Jonathan Gombola, M.D.
• Tao Gong, L.AC
• Cristina Marie Gonzalez Mendez, MD
• Miguel Gonzalez, PT

• Pediatrics Physician in Edina, MN
• Providers in Edina, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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.