Organization Active NPI

Craig Goldstein DO PA

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1871844993
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
2000161122 Issued in MO
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

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Craig A Goldstein, DONPI 1437158391
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)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1871844993MedicaidMO

Other names 1

  • Craig Goldstein DO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130206000626 KS Part B Supplier - Clinic/Group Practice 1759535321 Receives reassigned benefits from 4 practitioners
Practice locations: Gardner, KS; Leawood, KS; Overland Park, KS; Shawnee, KS
O20130207000053 MO Part B Supplier - Clinic/Group Practice 1759535321 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO; Lees Summit, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.