Active NPI
Stuart Goldstein D.O. Inc.
- Geriatric Medicine (Family Medicine) Physician
- Canton, OH
National Provider Identifier
1902005028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 2610
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stuart Goldstein, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9917852 | Other | OH | MEDICARE GROUP PROVIDER N |
Other names 1
- WHIPPLE MEDICAL CENTER
National Provider Directory
National Provider DirectoryLocations
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Canton, OH
- NPI 1780647354
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.