JEFFREY HOWARD GOLDMAN (NPI# 1316039142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316039142 |
| Entity Type | Individual |
| Full Name | JEFFREY HOWARD GOLDMAN |
| Credential | M.D. |
| Practice Address |
4100 Park Forest Dr. Suite 208 Traverse City MI 49684 |
| Mailing Address |
4100 Park Forest Dr. Suite 208 Traverse City MI 49684-2058 |
| Practice Telephone | 2319355710 |
| Practice Fax Number | 2319359045 |
| Mailing Telephone | 2319355710 |
| Mailing Fax Number | 2319359045 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301095691 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0280037 | 01 |
| MI | 1316039142 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700937133 | Jeffrey A Goldman | Psychologist | 32-34 Main St, Stamford, NY 12167-1145 | 2007-01-14 |
| 1114004009 | Jeffrey P Goldman | Radiology | 2 Dogwood Ln, Tenafly, NJ 07670-1103 | 2006-11-01 |
| 1295832590 | Jeffrey Goldman | Physical Therapist | 30 Moore Ln, Washingtonville, NY 10992-2249 | 2006-09-20 |
| 1689661472 | Jeffrey A Goldman | Dentist | 1 Thompson Sq, Suite 203, Charlestown, MA 02129-3328 | 2005-10-05 |
| 1316942212 | Jeffrey H Goldman | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2005-06-16 |
| 1750459079 | Jeffrey Scott Goldman | Physical Therapist | 825 Washington St, Ste 280 Physical Therapy & Sports Rehab Inc, Norwood, MA 02062 | 2006-12-04 |
| Street Address |
4100 PARK FOREST DR. SUITE 208 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508989633 | Eugene Zolotarevsky | Internal Medicine | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-04-06 |
| 1013048057 | John P Milliken | Internal Medicine | 224 Circle Dr, Traverse City, MI 49684-2342 | 2007-03-09 |
| 1427119429 | Rex Antinozzi | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-12-13 |
| 1851467641 | Kurt Sanford | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1205902095 | Montgomery John Hegewald | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1023184819 | Mark V Galan | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1225104011 | Digestive Health Associates of Northern Michigan, P.C. | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1497821284 | Robert E Barnes Jr. | Internal Medicine | 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684-7331 | 2006-11-26 |
| 1659376077 | Northern Michigan Gastroenterology Plc | Internal Medicine | 224 Circle Dr, Traverse City, MI 49684-2342 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1053808550 | Dr. Allison Wood, Do Mph, Pllc | Internal Medicine | 4136 Legacy Pkwy Ste 100, Lansing, MI 48911-4293 | 2018-04-19 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1043698988 | Krishna Chaitanya Meka | Internal Medicine | 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071 | 2015-05-12 |
| 1609260892 | Chia-yang Hsu | Internal Medicine | A. Alfred Taubman Health Care Center, 1500 East Medical Center Drive Room 3912, Ann Arbor, MI 48109 | 2015-03-25 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1578908000 | Emily E Tommolino | Internal Medicine | 26850 Providence Pkwy Ste 510, Novi, MI 48374-1267 | 2013-05-10 |
| 1679917074 | Harold Joseph Tobes | Internal Medicine | 1205 Nakomis Trl, Lake Orion, MI 48362-1340 | 2013-04-29 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.