JACK GOLDSTEIN (NPI# 1457443228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457443228 |
| Entity Type | Individual |
| Full Name | JACK GOLDSTEIN |
| Credential | M.D. |
| Practice Address |
325 N State of Franklin Rd 2nd Floor Johnson City TN 37604 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234397280 |
| Practice Fax Number | 4234937314 |
| Mailing Telephone | 4234397280 |
| Mailing Fax Number | 4234397314 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 17987 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233261 | Jack D Goldstein | Orthopaedic Surgery | 400 Massasoit Ave, Suite 201, E Providence, RI 02914-2012 | 2005-05-23 |
| 1083822464 | Jack Goldstein | Counselor | 7464 W Sahara Ave, Suite #4, Las Vegas, NV 89117-2740 | 2007-05-18 |
| 1629051404 | Jack Goldstein | Optometrist | 418 38th St, Union City, NJ 07087-4806 | 2005-11-25 |
| 1114929858 | Jack Goldstein | Internal Medicine | 218c Sunset Rd, Willingboro, NJ 08046-1104 | 2005-08-12 |
| Street Address |
325 N STATE OF FRANKLIN RD 2ND FLOOR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477022 | Kent Hjerpe | Specialist | 325 N State of Franklin Rd, First Floor, Johnson City, TN 37604-6056 | 2005-06-14 |
| 1770195950 | Tripti Sharma | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-08-19 |
| 1922617869 | Melanie Natasha Rayan | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-27 |
| 1700494754 | Fares Ghanem | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1821606047 | Nizar Obeidat | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-14 |
| 1578188603 | Ahmad Samih Al Tamari | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-06-15 |
| 1548883424 | Elizabeth Van Buren | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-26 |
| 1881216653 | Andres Rene Diaz | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-14 |
| 1912528860 | Eric Bookout | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-01 |
| 1619597309 | Sarah Tolliver | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| 1376074385 | Jonesborough Medical Center | Internal Medicine | 2811 W Market St Ste 1, Johnson City, TN 37604-5127 | 2017-03-22 |
| 1922463470 | Integrated Health Transitions, Pllc | Internal Medicine | 3107 W Market St, Suite 5, Johnson City, TN 37604-9347 | 2015-12-29 |
| 1689933301 | Jeremy Vincent Pinyard | Internal Medicine | 516 W Oakland Ave, Suite 106, Johnson City, TN 37604-1676 | 2012-05-15 |
| 1538397328 | Sirisha Jasti | Internal Medicine | 32-36 Harrison Street, Johnson City, NY 13790-2122 | 2009-06-30 |
| 1003057068 | Alan Cox | Internal Medicine | 2603 Avondale Dr, Johnson City, TN 37604-1902 | 2009-03-20 |
| 1528226016 | Mihir Patel | Internal Medicine | 408 N State of Franklin Rd Ste 24, Johnson City, TN 37604-6048 | 2008-05-30 |
| 1548481955 | Yamini Banerjee | Internal Medicine | 1403 E Oakland Ave, Johnson City, TN 37601-2655 | 2007-05-01 |
| 1013062421 | E Paul Getaz | Internal Medicine | 5 Saint Annes Ct, Johnson City, TN 37604-2279 | 2007-01-24 |
| 1841367919 | Jo G. Sweet | Internal Medicine | 415 State of Franklin Rd, Johnson City, TN 37604-6034 | 2006-11-30 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on JACK GOLDSTEIN.
| 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.