Organization Active NPI

Stuart Goldstein D.O. Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Canton, OH
National Provider Identifier
1902005028
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2610 Issued in OH
Legal business name
STUART GOLDSTEIN D.O. INC.
Practice address
3731 Whipple Ave NW
Canton, OH 44718-2933
Phone
(330) 324-0526
Fax
(330) 493-5680
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Stuart Goldstein, D.O.NPI 1780647354
Title
President
Phone
(330) 324-0526

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
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 2610 OH Primary

Addresses

Primary practice location

3731 Whipple Ave NW
Canton, OH 44718-2933

Mailing address

3731 Whipple Ave NW
Canton, OH 44718-2933
Phone (330) 324-0526

Other identifiers 1

IdentifierTypeStateIssuer
9917852OtherOHMEDICARE GROUP PROVIDER N

Other names 1

  • WHIPPLE MEDICAL CENTER Other name

National Provider Directory

National Provider Directory

Locations

3731 Whipple Ave NW
Canton, OH 44718
Phone (330) 493-4945

Practitioners & affiliated clinicians

Practitioners 1

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1902005028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182933",
            "telephone_number": "330-324-0526",
            "fax_number": "330-493-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182933",
            "telephone_number": "330-324-0526",
            "fax_number": "330-493-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART GOLDSTEIN D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-324-0526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "2610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER N",
            "identifier": "9917852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHIPPLE MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.