DR. LARRY S GOLDSTEIN (NPI# 1972584977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584977 |
| Entity Type | Individual |
| Full Name | DR. LARRY S GOLDSTEIN |
| Credential | DPM |
| Practice Address |
1200 Russell Pkwy Warner Robins GA 31088-5540 |
| Mailing Address |
900 Circle 75 Pkwy Se Ste 900 Atlanta GA 30339-3084 |
| Practice Telephone | 4783282008 |
| Practice Fax Number | 4789180276 |
| Mailing Telephone | 6784262171 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000722 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000722 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | P00686472 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716446 | Larry Lee Goldstein | Specialist | 15 Hillridge Court, Staten Island, NY 10305 | 2017-08-16 |
| 1467549394 | Larry R Goldstein | Dentist | 2606 Abbey Ct, Crabapple Village, Alpharetta, GA 30004-6023 | 2006-10-10 |
| 1447260559 | Larry S Goldstein | Chiropractor | 4640 Valais Ct, Suite 100, Alpharetta, GA 30022-2606 | 2006-08-09 |
| 1982689469 | Larry I Goldstein | Podiatrist | 41 Berlin Ave, Milton, MA 02186-5103 | 2005-12-07 |
| 1972604858 | Larry Bruce Goldstein | Psychiatry & Neurology | 740 S Limestone, University of Kentucky Medical Center, Lexington, KY 40536-0284 | 2006-09-26 |
| 1396764197 | Larry E. Goldstein | Acupuncturist | 833 Chestnut Street, Suite 703, Philadelphia, PA 19107-4414 | 2006-07-19 |
| 1649202748 | Larry Goldstein | Surgery | 3061 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2298 | 2006-07-07 |
| 1215976808 | Larry D Goldstein | Radiology | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2006-06-06 |
| Street Address |
1200 RUSSELL PKWY |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790338333 | Larry S Goldstein Dpm PC | Podiatrist | 1200 Russell Pkwy, Warner Robins, GA 31088-5540 | 2019-07-23 |
| 1023402112 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 1200 Russell Pkwy, Warner Robins, GA 31088-5540 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871730754 | Village Podiatry Group, LLC | Podiatrist | 1200 Russell Parkway, Warner Robins, GA 31088-5540 | 2009-01-14 |
| 1053325480 | Evaristus Igbafe Oshiokpekhai | Podiatrist | 1043 North Houston Rd, Warner Robins, GA 31093 | 2006-07-29 |
| 1790338333 | Larry S Goldstein Dpm PC | Podiatrist | 1200 Russell Pkwy, Warner Robins, GA 31088-5540 | 2019-07-23 |
| 1588857304 | Grace Ivie Ejaife-austin | Podiatrist | 1043 N Houston Rd, Warner Robins, GA 31093-1505 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.