JACOB B GOLDSTEIN DPM LLC (NPI# 1689967119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689967119 |
| Entity Type | Organization |
| Organization Name | JACOB B GOLDSTEIN DPM LLC |
| Other Organization Name | FOOT PAIN CENTER OF KANSAS CITY |
| Practice Address |
230-c East Main St. Gardner KS 66030-1643 |
| Mailing Address |
230-c East Main Street Gardner KS 66030-1643 |
| Practice Telephone | 9138568150 |
| Practice Fax Number | 9138568390 |
| Mailing Telephone | 9138568150 |
| Mailing Fax Number | 9138568390 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | DR. JACOB B GOLDSTEIN (OWNER) |
| Authorized Official Telephone | 9138568150 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1200358KS | KS | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
12-00358KS | KS | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Foot Pain Center of Kansas City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417453168 | Jacob B Goldstein Dpm LLC | Podiatrist | 1402 S Main St, Ottawa, KS 66067-3529 | 2018-04-02 |
| Street Address |
230-C EAST MAIN ST. |
| City | GARDNER |
| State | KS |
| Zip Code | 66030-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003896374 | Jacob B. Goldstein | Podiatrist | 230-c East Main St., Gardner, KS 66030-1643 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053340 | Arismun Bobby Rattanapon | Student in an Organized Health Care Education/Training Program | 320 W Westhoff Pl, Gardner, KS 66030 | 2018-11-27 |
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1306057716 | Paul D. Mabe, Dds, Chartered | Dentist | 971 E. Lincoln Ln., Gardner, KS 66030 | 2007-05-25 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1619198116 | Toni Eyer | Occupational Therapy Assistant | 223 Bedford Street, Gardner, KS 66030 | 2007-05-01 |
| 1598855389 | Kristin Mary Vanbecelaere | Optometrist | 1555 E Santa Fe St, Gardner, KS 66030 | 2006-10-13 |
| 1104926997 | Wal-mart Stores, Inc. | Technician/Technologist | 1555 E. Santa Fe St., Gardner, KS 66030 | 2006-09-22 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| Find all providers in zip 66030 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477792034 | Richard E Genovese | Podiatrist | 52 Central St, Gardner, MA 01440-1662 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859777 | David Sanchez | Podiatrist | 758 S Hillside St Ste 2, Wichita, KS 67211-3038 | 2016-05-21 |
| 1750752960 | Wichita Foot and Ankle Wound Center | Podiatrist | 220 S Hillside St Ste B, Wichita, KS 67211-2151 | 2015-10-14 |
| 1861788275 | Thomas Lyman | Podiatrist | 1230 E 6th Ave Ste 2a, Winfield, KS 67156-3145 | 2011-06-23 |
| 1790965564 | Comprehensive Foot Centers P.a. | Podiatrist | 503 Olive St, Leavenworth, KS 66048-2651 | 2007-11-09 |
| 1386844967 | Fornelli Feet Pa | Podiatrist | 7224 E Bainbridge Ct, Wichita, KS 67226-1140 | 2007-07-20 |
| 1194847947 | Ali R Davis | Podiatrist | 4601 W 109th St Ste 314, Overland Park, KS 66211 | 2007-04-04 |
| 1588765440 | Lawrence R. Gaston, Jr Dpm Pa | Podiatrist | 5100 Bob Billings Parkway, Suite 100, Lawrence, KS 66049-4094 | 2006-09-25 |
| 1770534299 | Dan Edward Robinson | Podiatrist | 4101 S 4th Trafficway, 112a, Leavenworth, KS 66048 | 2006-05-12 |
| 1154398527 | Smoky Valley Foot Center Pa | Podiatrist | 515 Ne 10th St, Abilene, KS 67410-2153 | 2006-03-03 |
| 1285616375 | Corin Q Wilde | Podiatrist | 407 E Centennial Dr, Pittsburg, KS 66762-6505 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
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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.