Edgar Clinton Goldston Jr., M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

90-182672-1205 Issued in UT

Practice address

175 North Medical Drive East
Salt Lake City, UT 84132-2303

Phone

(801) 581-6908

Fax

(801) 581-4135

NPI assigned

Aug 13, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Utah Acuity Care Services

  dba Anesthesiology Dept SICU

  • Critical Care Medicine (Anesthesiology) Physician
  • Salt Lake City, UT
  • NPI 1407250541
  Medicare reassignment NPD
• University of Utah Acuity Care Services

  dba Neurostimulation Adult Services

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Salt Lake City, UT
  • NPI 1366804254
  NPD
• University of Utah Acuity Care Services

  dba MICU-Department of University of Utah

  • Critical Care Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1851795918
  NPD
• University Neurosurgery Associates

  • Neurological Surgery Physician
  • Salt Lake City, UT
  • NPI 1942306972
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1942492079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NORTH MEDICAL DRIVE EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322303",
            "telephone_number": "801-581-6908",
            "fax_number": "801-581-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NORTH MEDICAL DRIVE EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322303",
            "telephone_number": "801-581-6908",
            "fax_number": "801-581-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTON",
        "first_name": "EDGAR",
        "middle_name": "CLINTON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "UT",
            "license": "90-182672-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Aidan Goldsmith, MD
• Rebecca Ann Goldsmith, PA-C
• Janet H. Goldstein
• Marvin Goldstein, LCSW
• Michael L. Goldstein, M.D.
• Mozhgan Goli-Amraei
• Stephanie Gollihugh
• Kimberly Robin Golsan, RPH
• Leslie Goltra, PHARMD
• Edward Daniel Golub

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.