Goldsmith Healthcare, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6116 Issued in NV

Legal business name

GOLDSMITH HEALTHCARE, LTD

Doing business as

Innovative Care Physicians

Practice address

5375 S Fort Apache Rd
Las Vegas, NV 89148-7623

Phone

(702) 367-0808

Fax

(702) 367-1339

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Lee Goldsmith, M.D.NPI 1073614095

Title

Owner/Director

Phone

(702) 367-0808

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• INNOVATIVE CARE PHYSICIANS Doing business as

Tax ID family

Goldsmith Healthcare LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Goldsmith Healthcare, LTD

  dba Innovative Care Physicians

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1508246752
  NPD tax ID
• Lone Mountain Medical Centre

  dba Goldsmith Healthcare, LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1356389456
  NPD tax ID

Locations

Practitioners 2

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.

• Ivan Lee Goldsmith, MD

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1073614095
  NPD (past) Authorized official
• Eric M Wolfson, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1023044773
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1881651826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD",
            "address_2": "#102-103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487623",
            "telephone_number": "702-646-9444",
            "fax_number": "702-646-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487623",
            "telephone_number": "702-367-0808",
            "fax_number": "702-367-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSMITH HEALTHCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "702-367-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6116",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6116",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "6116",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019160",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE CARE PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camila Goldner Perez, MD, MPH
• Sharonda Goldsberry
• Pamela Goldsher
• Batsheva Goldshmid
• Goldsmith Healthcare, LTD (Innovative Care Physicians)
• Anthony Goldsmith
• Nordica Goldsmith
• Itamar Lior Goldstein, M.D.
• Joshua Goldstein, APRN
• Justin Goldstein, DC

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.