BERNARD GOLDSTEIN (NPI# 1063490894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063490894 |
| Entity Type | Individual |
| Full Name | BERNARD GOLDSTEIN |
| Credential | DO |
| Practice Address |
3401 E 12 Mile Rd Suite C Warren MI 48092 |
| Practice Telephone | 5867517733 |
| Practice Fax Number | 5867517766 |
| Mailing Telephone | 5867517733 |
| Mailing Fax Number | 5867517766 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101005094 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4449244 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285829630 | Bernard Goldstein | Optometrist | 3608 Spring Beauty Ct, Powder Springs, GA 30127-9505 | 2007-09-10 |
| 1831288554 | Bernard Goldstein | Podiatrist | 13615 Bruce B Downs Blvd, Suite 112, Tampa, FL 33613-4607 | 2006-10-12 |
| Street Address |
3401 E 12 MILE RD SUITE C |
| City | WARREN |
| State | MI |
| Zip Code | 48092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1316347917 | Gerald F Daneshvar Md Pllc | Internal Medicine | 13201 Stephens Rd Ste F, Warren, MI 48089-4340 | 2014-09-02 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1457798829 | Manuela Belda Hamaoui | Internal Medicine | 34 Mountain Blvd Bldg C, Warren, NJ 07059-2640 | 2013-05-26 |
| 1124464268 | Kelli Lynne Virgin | Internal Medicine | 11855 E 12 Mile Rd Ste 400, Warren, MI 48093-3471 | 2013-05-16 |
| 1780029074 | Ez Rest Re-hab Center Inc. | Internal Medicine | 25932 Dequindre Rd Ste C, Warren, MI 48091-1071 | 2013-05-01 |
| 1043516636 | Paolo Augusto Salvatore | Internal Medicine | 28 Helen St, Warren, NJ 07059-5817 | 2011-01-31 |
| 1861710154 | Heather Lynn Franke | Internal Medicine | 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 | 2010-05-11 |
| 1437399326 | Charles Hammond Mcgowen | Internal Medicine | 90 Oak Tree Ln Se, Warren, OH 44484-5611 | 2009-03-05 |
| 1710151782 | Richard M Liss | Internal Medicine | 6 Debby Ln, Warren, NJ 07059-5013 | 2008-04-21 |
| 1679751564 | Hoover Medical Clinic PC | Internal Medicine | 31690 Hoover, Warren, MI 48093 | 2008-02-04 |
| Find all providers in WARREN | ||||
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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.