Jack Goldman


Address: 101 2nd St Ne, Auburn, WA 98002-4902
Phone: 2538333650

Jack Goldman (NPI# 1023065539, PAC ID# 2769371798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1023065539
PAC ID by PECOS 2769371798
Professional Enrollment ID I20110106000347
Full Name Jack Goldman
Address 101 2nd St Ne
Auburn
WA 98002-4902
Phone Number 2538333650
Gender M
Graduation Year 1972
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500015 MULTICARE AUBURN MEDICAL CENTER

Other Locations

Address Phone Organization
101 2nd St Ne, Auburn, WA 98002-4902 2538333650
803 E Main St, Auburn, WA 98002-5628 2538333650

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_326_overall Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 100%

Organization Information

Office Location

Street Address 101 2ND ST NE
City AUBURN
State WA
Zip 98002-4902

Physicians in the same location

Name Specialty Organization Address
John R Conrad General Surgery South Sound Surgery, Pllc 101 2nd St Ne, Auburn, WA 98002-4902
Laurence S Fox Family Medicine 101 2nd St Ne, Auburn, WA 98002-4902

Physicians in the same zip code

Name Specialty Organization Address
Daniel R Long Chiropractic 4701 Auburn Way N, Coffey Chiropractic, Auburn, WA 98002-1312
Melissa Spencer Nurse Practitioner Best Northwest Physicians Pllc 4508 Auburn Way N C, Auburn, WA 98002-1381
Steven Rudnick Internal Medicine Best Northwest Physicians Pllc 4508 Auburn Way N C, Auburn, WA 98002-1381
Victoria M Mead Family Medicine Best Northwest Physicians Pllc 4508 Auburn Way N C, Auburn, WA 98002-1381
Keillan Leigh Mennella Nurse Practitioner Best Northwest Physicians Pllc 4508 Auburn Way N C, Auburn, WA 98002-1381
Jane N Nwankwookoye Nurse Practitioner Valley Cities Counseling and Consultation 2704 I St Ne, Auburn, WA 98002-2411
Kristen K Butler Clinical Social Worker Valley Cities Counseling and Consultation 2704 I St Ne, Auburn, WA 98002-2411
Diane S Dufner Sanders Nurse Practitioner Valley Cities Counseling and Consultation 2704 I St Ne, Auburn, WA 98002-2411
Kathleen E Rean Psychiatry Valley Cities Counseling and Consultation 2704 I St Ne, Auburn, WA 98002-2411
Cynthia K Bull-greer Psychiatry Valley Cities Counseling and Consultation 2704 I St Ne, Auburn, WA 98002-2411
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Competitor

Search similar physicians

City AUBURN
Zip Code 98002
Specialty INTERNAL MEDICINE
City + Specialty AUBURN + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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