DR. LEON A GOLDSTEIN (NPI# 1285642595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285642595 |
| Entity Type | Individual |
| Full Name | DR. LEON A GOLDSTEIN |
| Credential | MD |
| Practice Address |
141 Durham Rd Ste 23 Madison CT 06443-2658 |
| Practice Telephone | 2032450350 |
| Mailing Telephone | 2032450350 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD06203 | RI | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 26163 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 2430002996 | 01 | |
| AETNA | 4357168 | 01 | |
| CT | BCBS | 010026163CT01 | 01 |
| RI | BCBS | 411255 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Wake Robin Rd Unit 5, Lincoln, RI 028654208 | 4014759140 | 4014752808 |
| Street Address |
141 DURHAM RD STE 23 |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| Find all providers in zip 06443 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821351107 | Sana L Bhatti | Plastic Surgery | 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 | 2012-06-21 |
| 1508122938 | Stephanie Suprenant | Plastic Surgery | Uw Hospital and Clinics 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2012-04-10 |
| 1639320864 | Mississippi Premier Plastic Surgery, Pllc | Plastic Surgery | 160 Fountains Blvd, Suite B, Madison, MS 39110-4643 | 2008-10-07 |
| 1689615486 | Somprasong Songcharoen | Plastic Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110 | 2006-06-10 |
| 1225023906 | Amorn Neil Salyapongse | Plastic Surgery | 1 S Park St, Division of Hand Surgery, Madison, WI 53715-1375 | 2005-09-19 |
| 1437783131 | Megan Perinovic | Plastic Surgery | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-03 |
| 1710478573 | Ethan Laghi Mackenzie | Plastic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2018-05-28 |
| 1134654924 | Jacob Michael Marks | Plastic Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-04-28 |
| 1831552041 | Carol Elaine Soteropulos | Plastic Surgery | Uw Hospitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2016-04-04 |
| 1427411818 | Elizabeth R Zielins | Plastic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-01 |
| Find all providers in MADISON | ||||
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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.