STEPHEN GOLDMAN (NPI# 1477577492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477577492 |
| Entity Type | Individual |
| Full Name | STEPHEN GOLDMAN |
| Credential | M.D. |
| Practice Address |
1850 Gateway Dr Sycamore IL 60178-3192 |
| Practice Telephone | 8157588671 |
| Mailing Telephone | 8157588671 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036-116174 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 036-116714 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497032494 | Stephen Norman Goldman | Speech-Language Pathologist | 200 W Arbor Dr # 8775, San Diego, CA 92103-1911 | 2011-11-04 |
| 1699865600 | Stephen Richard Goldman | Obstetrics & Gynecology | 16 Mcdowell St, Asheville, NC 28801-4104 | 2006-10-13 |
| 1750368528 | Stephen J Goldman | Family Medicine | 2465 Dewberry Rdg, Muscatine, IA 52761-9116 | 2005-12-22 |
| 1982698619 | Stephen M. Goldman | Ophthalmology | 700 Spruce St, Suite 100, Philadelphia, PA 19106-4022 | 2005-09-08 |
| 1104822212 | Stephen Robert Goldman | Chiropractor | 309 Woodbury Rd, Hicksville, NY 11801-3014 | 2005-06-23 |
| 1568680643 | Stephen Lewis Goldman | Preventive Medicine | 100 Ne Adams St, Peoria, IL 61629-1410 | 2007-04-23 |
| 1417087008 | Stephen A. Goldman | Dentist | 7600 Ritchie Hwy, Glen Burnie, MD 21061-3718 | 2007-03-06 |
| 1619036118 | Stephen Ira Goldman | Neuromusculoskeletal Medicine & OMM | 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 | 2006-12-08 |
| 1508873167 | Stephen B Goldman | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203 | 2006-08-03 |
| 1639119837 | Stephen Allen Goldman | Internal Medicine | 6633 Forest Ave, 302, New Port Richey, FL 34653-2612 | 2006-06-07 |
| Street Address |
1850 GATEWAY DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018322 | Asra F Khan | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2005-07-28 |
| 1528601127 | Michelle L Gosnell | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-10-26 |
| 1568016335 | Andi Marie Rivers | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-07-30 |
| 1457815938 | Jessica Moede | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-01-29 |
| 1265903447 | Kimberly J Aldis | Registered Nurse | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-12-16 |
| 1114401833 | Jennifer Tarvestad | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-09-18 |
| 1518456003 | Keelin Willits | Urology | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-05-09 |
| 1255853859 | Ricardo Manuel De Oliveira Soares | Urology | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2017-07-14 |
| 1174067227 | Jamie Gibson | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2016-12-08 |
| 1679933139 | Kishwaukee Physician Group, Inc. | Durable Medical Equipment & Medical Supplies | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2016-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629080775 | Nitzet Velez | Surgery | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2006-08-13 |
| 1558373696 | Roger Maillefer | Surgery | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2006-08-13 |
| 1518979665 | Jack Wagoner | Surgery | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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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.