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CHARLES GOLDSTEIN PC NPI 1700920386


NPI Information

NPI: 1700920386
Provider Name: CHARLES GOLDSTEIN PC

Doing Business As: LAKEHURST MEDICAL CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 06D0512168

Address:
4535 S KIPLING ST
LITTLETON, CO
ZIP 80127
Phone: (303) 973-0798
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CHARLES GOLDSTEIN PC is a general practice in Littleton, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHARLES GOLDSTEIN PC NPI is 1700920386. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakehurst Medical Center.

The provider's business location address is:

4535 S KIPLING ST
LITTLETON, CO
ZIP 80127-139
Phone: (303) 973-0798
Fax: (303) 973-0314

The provider's authorized official is Debi Shaklee .
The authorized official title is Office Manager and has the following contact phone number (303) 973-0798.

The CLIA number assigned to this NPI record is 06D0512168 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/13/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice18797COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CK7008MEDICARE PINCOLORADO
275424OTHERCOLORADOLAKEHURST MEDICAL CENTER
328856546MEDICAIDCOLORADO

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: 4/28/2024

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