Larry S Goldstein DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LARRY S GOLDSTEIN DPM PC

Doing business as

Warner Robins Foot and Ankle

Practice address

1200 Russell Pkwy
Warner Robins, GA 31088-5540

Phone

(478) 328-2008

Fax

(478) 255-4364

NPI assigned

Jul 23, 2019

Last updated

Sep 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry S. Goldstein, DPMNPI 1972584977

Title

Owner

Phone

(478) 328-2008

Specialties & licenses 1

Addresses

Other names 1

• Warner Robins Foot and Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry S Goldstein, DPM

  • Podiatrist
  • Warner Robins, GA
  • NPI 1972584977
  NPD Authorized official

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1790338333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885540",
            "telephone_number": "478-328-2008",
            "fax_number": "478-255-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885540",
            "telephone_number": "478-328-2008",
            "fax_number": "478-255-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY S GOLDSTEIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-328-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warner Robins Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Warner Robins Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.