Active NPI
Stuart Karl Goldstein, D.O. C.M.D.
- Geriatric Medicine (Family Medicine) Physician
- Canton, OH
National Provider Identifier
1780647354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 2610
- Practice address
- 3731 Whipple Ave NW
Canton, OH 44718-2933 - Phone
- (330) 493-4945
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 2610 | OH | Primary |
Addresses
Primary practice location
3731 Whipple Ave NW
Canton, OH 44718-2933
Mailing address
3731 Whipple Ave NW
Canton, OH 44718-2933
Phone (330) 493-4945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0455734 | Medicaid | OH |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2610 | OH | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stuart Goldstein D.O. Inc. | Geriatric Medicine | Current | Accepting new patients |
Locations
3731 Whipple Ave NW
Canton, OH 44718
Phone (330) 493-4945
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Canton, OH
- NPI 1902005028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1780647354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182933",
"telephone_number": "330-493-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3731 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182933",
"telephone_number": "330-493-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "STUART",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "D.O. C.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "OH",
"license": "2610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0455734",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.