Individual provider Active NPI

Lawrence Norman Goldman, M.D.

  • Gastroenterology Physician
  • Wellington, FL
National Provider Identifier
1780681635
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME134520 Issued in FL
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

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X VI1128 VI
Gastroenterology Physician 207RG0100X 87454 SC
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000577 VI Practitioner - Gastroenterology 5496742918 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VI1128VIMDSpecialist
ME134520FLMDGastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.