Matthew L Goodstein MDPC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

31599 Issued in CO

Legal business name

MATTHEW L GOODSTEIN MDPC

Practice address

1830 Blake Ave
Suite 201
Glenwood Springs, CO 81601-4275

Phone

(970) 945-1112

Fax

(970) 945-4868

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 2007By 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. Matthew L Goodstein, MDNPI 1376692533

Title

Pres

Phone

(970) 945-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Matthew L Goodstein, M.D.

  • Otolaryngology Physician
  • Glenwood Springs, CO
  • NPI 1376692533
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1871787168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "address_2": "SUITE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-1112",
            "fax_number": "970-945-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "address_2": "SUITE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-1112",
            "fax_number": "970-945-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW L GOODSTEIN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "GOODSTEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "970-945-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "31599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Young MD PC (Apex Health Alliance)
• Stephen Craig Martin, M.D.
• Travis W Martin, M.D.
• Erin Elizabeth Martino, PT
• Krispen Maske, RN
• Ashley Mae Mauldin, LPC
• Maura Stack Oden LLC (ABA Services of Colorado)
• Katy Jane Mazza, PA-C
• Beth McCafferty
• Leeann McCallum, RN

• Otolaryngology Physician in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.