JERRY GOLDSTONE MD NPI 1851325724

NPI Information

NPI: 1851325724
Provider Name: JERRY GOLDSTONE, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-3013
Get Directions

Jerry Goldstone, MD is a vascular surgery surgery in Cleveland, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Jerry Goldstone, MD NPI is 1851325724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-3013

The enumeration date for this NPI number is 7/10/2006 and was last updated on 6/30/2011.

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	2086S0129X	Surgery	Vascular Surgery	35-076513	OHIO	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	745999	OTHER	OHIO	BUCKEYE
2	P00216359	OTHER	OHIO	RAILROAD MEDICARE
3	363568	OTHER	OHIO	WELLCARE
4	000000221401	OTHER	OHIO	UNISON
5	000000503634	OTHER		ANTHEM
6	P00385110	OTHER	OHIO	RAILROAD MEDICARE
7	4419730	OTHER		AETNA
8	2132801	MEDICAID	OHIO
9	GO0885093	MEDICARE PIN	OHIO
10	A38633	MEDICARE UPIN
11	GO0885094	MEDICARE PIN

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

NPI Synchronization or Removal

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