Active NPI
Patrick Edward Goldsmith, PA-C
- Physician Assistant
- Norfolk, VA
National Provider Identifier
1811391006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1208097
- Practice address
- Marine Staff Services 1775 Forrestal Drive BLDG 41
Norfolk, VA 23551-0001 - Phone
- (910) 581-0065
- NPI assigned
- Oct 16, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1208097 | NC | Primary |
Addresses
Primary practice location
Marine Staff Services 1775 Forrestal Drive BLDG 41
Norfolk, VA 23551-0001
Mailing address
Medical Staff Services 1775 Forrestal Drive Blvd 41
Norfolk, VA 23551-0001
Phone (910) 581-0065
Other practice location 1
165 I St. Bldg. HP 402
Camp Lejeune, NC 28547
Phone (910) 581-0065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1208097 | NC | MD | Physician Assistant |
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.
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1386388874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1811391006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL STAFF SERVICES 1775 FORRESTAL DRIVE BLVD 41",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235510001",
"telephone_number": "910-581-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARINE STAFF SERVICES 1775 FORRESTAL DRIVE BLDG 41",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235510001",
"telephone_number": "910-581-0065"
}
],
"practiceLocations": [
{
"address_1": "165 I St. Bldg. HP 402",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "28547",
"country_code": "US",
"telephone_number": "910-581-0065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "PATRICK",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-16",
"last_updated": "2023-07-13",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "1208097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.