Active NPI
Lawrence Norman Goldman, M.D.
- Gastroenterology Physician
- Wellington, FL
National Provider Identifier
1780681635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME134520
- Practice address
- 2789 S State Road 7 Ste 100-200
Wellington, FL 33414 - Phone
- (561) 898-5100
- Fax
- (561) 898-5101
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | VI1128 | VI | |
| Gastroenterology Physician | 207RG0100X | 87454 | SC | |
| Gastroenterology Physician | 207RG0100X | ME134520 | FL | Primary |
Addresses
Primary practice location
2789 S State Road 7 Ste 100-200
Wellington, FL 33414
Mailing address
8953 Golden Mountain Cir
Boynton Beach, FL 33473-3310
Phone (340) 998-6648
Other practice location 1
5701 N University Dr
Parkland, FL 33067-1703
Phone (877) 463-2010
Other practice location 2
9149 Estate Thomas
St Thomas, VI 00802-2687
Phone (340) 714-1122
Other practice location 3
3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone (803) 434-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VI1128 | VI | MD | Specialist |
| ME134520 | FL | MD | Gastroenterology Physician |
Interoperability endpoints
- lawrence.goldman.1@9000.direct.athenahealth.com
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.
-
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1780681635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8953 GOLDEN MOUNTAIN CIR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334733310",
"telephone_number": "340-998-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2789 S STATE ROAD 7 STE 100-200",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-898-5100",
"fax_number": "561-898-5101"
}
],
"practiceLocations": [
{
"address_1": "5701 N University Dr",
"address_purpose": "LOCATION",
"city": "Parkland",
"state": "FL",
"postal_code": "330671703",
"country_code": "US",
"telephone_number": "877-463-2010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9149 Estate Thomas",
"address_purpose": "LOCATION",
"city": "St Thomas",
"state": "VI",
"postal_code": "008022687",
"country_code": "US",
"telephone_number": "340-714-1122",
"fax_number": "340-715-4313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Richland Medical Park Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036850",
"country_code": "US",
"telephone_number": "803-434-8866",
"fax_number": "803-933-3049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "LAWRENCE",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VI",
"license": "VI1128",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "87454",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME134520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.