Active NPI
Jeffrey A Goldstein, M.D.
- Plastic and Reconstructive Surgery Physician
- Kansas City, MO
National Provider Identifier
1992895312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 35067702
- Practice address
- 2401 Gilham Avenue
Kansas City, MO 64108 - Phone
- (816) 802-1117
- Fax
- (816) 460-1083
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35067702 | OH | Primary |
Addresses
Primary practice location
2401 Gilham Avenue
Kansas City, MO 64108
Mailing address
2401 Gilham Avenue
Kansas City, MO 64108
Phone (816) 802-1117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185415 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067702 | OH | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1992895312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILHAM AVENUE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-802-1117",
"fax_number": "816-460-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILHAM AVENUE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-802-1117",
"fax_number": "816-460-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OH",
"license": "35067702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185415",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.