DR. GEORGE GOODSTEIN (NPI# 1457324949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457324949 |
Entity Type | Individual |
Full Name | DR. GEORGE GOODSTEIN |
Credential | M.D. |
Practice Address |
5100 Sw Macadam Ave Suite 200 Portland OR 97239-6102 |
Practice Telephone | 9712025500 |
Practice Fax Number | 9712025555 |
Mailing Telephone | 9712025500 |
Mailing Fax Number | 9712025555 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2013-01-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD13807 | OR | Allopathic & Osteopathic Physicians |
Street Address |
5100 SW MACADAM AVE SUITE 200 |
City | PORTLAND |
State | OR |
Zip Code | 97239-6102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700307386 | Kelsey Allrich | Counselor | 5100 Sw Macadam Ave, Portland, OR 97239-6102 | 2017-07-04 |
1518498567 | Amber Sirstad | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2017-03-22 |
1558801019 | Trystan Rose | Counselor | 5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 | 2017-03-03 |
1891246070 | Lines for Life | Community/Behavioral Health | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-10-22 |
1952856585 | Housecall Providers, Inc | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2016-08-24 |
1700239605 | Lisa Stiller | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-07-15 |
1740636091 | Theresa Burks | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-05-05 |
1740643253 | Michael Schwarting | Counselor | 5100 Sw Macadam Ave, Ste 400, Portland, OR 97239-6102 | 2016-04-01 |
1528420205 | Justin Li | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-03-22 |
1881056562 | Nicole Ann Zbylut | Counselor | 5100 Sw Macadam Ave, Portland, OR 97239-6102 | 2016-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
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Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1093916470 | Kellie Rooney Foster | Internal Medicine | 2710 Nw Vaughn St, Suite 160, Portland, OR 97210-5344 | 2007-05-31 |
1447310859 | Karen Kruse | Internal Medicine | 8200 Se Barbara Welch Rd, Portland, OR 97236-5335 | 2006-12-08 |
1083729214 | Stephen Arnold Ebert | Internal Medicine | 2701 Nw Vaughn St., Suite 160, Portland, OR 97201 | 2006-08-20 |
1609892736 | Paul Gowen | Internal Medicine | 3635 Ne Alameda St, Portland, OR 97212-1812 | 2006-07-14 |
1669418810 | Douglas Reed Grossnickle | Internal Medicine | 10373 Ne Hancock, Suite 219, Portland, OR 97220 | 2006-06-22 |
1497757447 | Luis Felipe Rodriguez | Internal Medicine | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2005-08-10 |
1518372606 | Paul R Porter Md | Internal Medicine | 934 S Broadway St, Ste 3, Portland, TN 37148-1700 | 2014-06-26 |
1093128571 | Lisa Kendell Sanders | Internal Medicine | 5050 Ne Hoyt St Ste 540, Portland, OR 97213 | 2014-06-03 |
1457642373 | Sandhya Venkata Srikantom | Internal Medicine | 3710 Sw Us Veterans Hospital Rd, Attn P3med, Portland, OR 97239-2964 | 2011-04-26 |
1386835981 | Maria Dulce Regina Tomas Zarraga | Internal Medicine | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 | 2007-08-08 |
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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.