Active NPI
Craig Goldstein DO PA
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
National Provider Identifier
1871844993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 2000161122
- Legal business name
- CRAIG GOLDSTEIN DO PA
- Doing business as
- Craig Goldstein DO
- Practice address
- 500 NW 68TH St
Kansas City, MO 64118-2455 - Phone
- (913) 322-6675
- NPI assigned
- Sep 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig A Goldstein, DO
- Title
- Sole Member
- Phone
- (913) 322-6675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 2000161122 | MO | Primary |
Addresses
Primary practice location
500 NW 68TH St
Kansas City, MO 64118-2455
Mailing address
PO Box 871248
Kansas City, MO 64187-1248
Phone (913) 322-6675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871844993 | Medicaid | MO |
Other names 1
- Craig Goldstein DO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
- NPI 1437158391
KS
-
- Gerontology Nurse Practitioner
- Overland Park, KS
- NPI 1477124394
Single Specialty
-
- Nurse Practitioner
- Overland Park, KS
- NPI 1548109069
-
- Family Nurse Practitioner
- Leawood, KS
- NPI 1831556604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1871844993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871248",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641871248",
"telephone_number": "913-322-6675",
"fax_number": "888-778-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NW 68TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641182455",
"telephone_number": "913-322-6675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG GOLDSTEIN DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-28",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "913-322-6675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MO",
"license": "2000161122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871844993",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Craig Goldstein DO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.