JACOB B GOLDSTEIN DPM LLC NPI 1689967119

NPI Information

NPI: 1689967119
Provider Name: JACOB B GOLDSTEIN DPM LLC

Doing Business As: FOOT PAIN CENTER OF KANSAS CITY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
230-C EAST MAIN ST.
GARDNER, KS
ZIP 66030
Phone: (913) 856-8150
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JACOB B GOLDSTEIN DPM LLC is a foot and ankle surgery podiatrist in Gardner, KS. JACOB B GOLDSTEIN DPM LLC NPI is 1689967119. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Foot Pain Center Of Kansas City.

The provider's business location address is:

230-C EAST MAIN ST.
GARDNER, KS
ZIP 66030-643
Phone: (913) 856-8150
Fax: (913) 856-8390

The provider's authorized official is Jacob B Goldstein .
The authorized official title is Owner and has the following contact phone number (913) 856-8150.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 9/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		1200358KS	KANSAS	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	12-00358KS	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	KA2249	MEDICARE PIN	KANSAS
2	6696780001	MEDICARE NSC	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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