MATTHEW JAY GOLDSTEIN (NPI# 1124086665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124086665 |
| Entity Type | Individual |
| Full Name | MATTHEW JAY GOLDSTEIN |
| Credential | MD |
| Practice Address |
1700 Medical Way Eastside Medical Center Snellville GA 30278 |
| Mailing Address |
Po Box 116301 Paragon Emergency Physicians PC Atlanta GA 30368-6301 |
| Practice Telephone | 7707362376 |
| Practice Fax Number | 7707362379 |
| Mailing Telephone | 8006662455 |
| Mailing Fax Number | 6106176280 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 048115 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457840662 | Matthew Goldstein | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave Ste 301, Orlando, FL 32804-4642 | 2018-05-02 |
| 1356722649 | Matthew Goldstein | Dentist | 509 Madison Ave, Suite 1704, New York, NY 10022-5501 | 2015-06-12 |
| 1174885651 | Matthew Jordan Goldstein | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2012-06-11 |
| 1114240835 | Matthew Jason Goldstein | Orthopaedic Surgery | 600 Northern Blvd, Suite 300, Great Neck, NY 11021-5206 | 2010-03-09 |
| 1194907972 | Matthew Robert Oliver Goldstein | Counselor | 1405 Guerrero St, San Francisco, CA 94110-4324 | 2007-12-03 |
| 1598967325 | Matthew Alan Goldstein | Internal Medicine | 2 Industrial Blvd Ste 200, Paoli, PA 19301-1648 | 2007-06-04 |
| Street Address |
1700 MEDICAL WAY EASTSIDE MEDICAL CENTER |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467447 | Edwin W Nunnery Jr. | Pathology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-06-16 |
| 1871193037 | Olakemi L Adenuga | Registered Nurse | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-10-27 |
| 1922625102 | Fiji George | Pharmacist | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-07-03 |
| 1033738349 | Kathryn Iwasaki | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-04-16 |
| 1669005880 | Sarah Marlene Anderson | Nurse Practitioner | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-02-17 |
| 1942866926 | Samantha Alice Stellmacher | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2019-05-15 |
| 1205316189 | Stephanie Alyse Powell | Anesthesiologist Assistant | 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 | 2018-08-20 |
| 1053899724 | Micheal Tyrone Wright | Nurse Practitioner | 1700 Medical Way, Snellville, GA 30078-2195 | 2018-08-03 |
| 1083120588 | Andrea M Kennedy | Specialist/Technologist, Other | 1700 Medical Way, Snellville, GA 30078-2195 | 2017-12-19 |
| 1861848210 | Umair Rahim Shaikh | Internal Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639136724 | Eric Loren Simrod | Emergency Medicine | 1700 Medical Center, Eastside Medical Center, Snellville, GA 30278 | 2006-05-01 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417990334 | Paul E. L Allen Sr. | Emergency Medicine | 2795 Main St W # 27, Snellville, GA 30078-3164 | 2006-06-14 |
| 1639136724 | Eric Loren Simrod | Emergency Medicine | 1700 Medical Center, Eastside Medical Center, Snellville, GA 30278 | 2006-05-01 |
| 1023427895 | Maroon Bells Emergency Physicians LLC | Emergency Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2014-08-06 |
| 1184990202 | Georgia Em-i Medical Service PC | Emergency Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2012-03-23 |
| 1568744951 | Chestnut Oak Emergency Physicians LLC | Emergency Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2011-09-13 |
| 1518196732 | George Kaleel Rafeedie | Emergency Medicine | 1790 Presidential Cir, Suite C, Snellville, GA 30078-5688 | 2009-07-09 |
| 1831228865 | Gwinnett Ob Gyn Assoc. 2 LLC | Emergency Medicine | 1700 Tree Ln, Suite 290, Snellville, GA 30078-6782 | 2007-03-05 |
| 1548355381 | Robert Nicholas Butler Jr. | Emergency Medicine | 1700 Medical Way, Eastside Medical Center, Snellville, GA 30078-2195 | 2006-10-04 |
| 1134155153 | Michael Austin | Emergency Medicine | 3020 Highway 124, Snellville, GA 30039-4614 | 2006-06-23 |
| 1851339006 | Maureen Lee Olson | Emergency Medicine | 1700 Medical Way, Eastside Medical Center, Snellville, GA 30278 | 2006-06-02 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30278 |
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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.