JEFFREY A GOLDSTEIN


Address: 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034
Phone: 2177880706

JEFFREY A GOLDSTEIN (NPI# 1689756900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689756900
Entity Type Individual
Full Name JEFFREY A GOLDSTEIN
Credential M.D.
Practice Address 619 E Mason St
Suite 4p57
Springfield
IL 62701-1034
Mailing Address Po Box 19420
Springfield
IL 62794-9420
Practice Telephone 2177880706
Practice Fax Number 2175252535
Mailing Telephone 2177880706
Mailing Fax Number 2175252535
Enumeration Date 2006-10-19
Last Update Date 2019-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036108837 IL Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
036-108837 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036108837 05
IL RAILROAD 00013594 01

Other Providers JEFFREY GOLDSTEIN

NPI Name Taxonomy Address Enumeration
1063833598 Jeffrey Goldstein Physical Therapist 98 Surrey Ln, Westfield, NJ 07090-3617 2013-12-31
1407136351 Jeffrey Peter Goldstein Physical Therapist 33 Redfield Rd, Island Park, NY 11558-1018 2011-08-24
1619278983 Jeffrey Alan Goldstein Obstetrics & Gynecology 21 Juneau Blvd, Woodbury, NY 11797-2618 2010-11-03
1134255698 Jeffrey A Goldstein Internal Medicine 3941 J Street Suite 450, Sacremento Gastroenterology, Sacramento, CA 95819 2007-02-26
1053493049 Jeffrey M Goldstein Chiropractor 78 Downs Rd, Monticello, NY 12701-3310 2006-10-19
1992895312 Jeffrey A Goldstein Surgery 2401 Gilham Avenue, Kansas City, MO 64108 2006-10-14
1871533562 Jeffrey N Goldstein Dentist 129 Bellevue Ave, Penndel, PA 19047-4024 2006-06-08
1528026929 Jeffrey D Goldstein Radiology 295 Vernon Ave, Lowell General Hospital, Lowell, MA 01851 2006-05-03
1417938655 Jeffrey Goldstein Dentist 339 E Fordham Rd, Executive Associates, Bronx, NY 10458-5031 2005-11-07
1205832466 Jeffrey R Goldstein Radiology 7026 Old Katy Rd, Suite 276, Houston, TX 77024-2133 2005-06-22

Office Location

Street Address 619 E MASON ST
SUITE 4P57
City SPRINGFIELD
State IL
Zip Code 62701-1034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033190814 Carl E Arentzen Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 2005-11-09
1669913349 Laura Grubb Internal Medicine 619 E Mason St, Ste. 4p57, Springfield, IL 62701-1034 2017-03-15
1265974604 Julie Borjon Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-11-16
1912358565 Meleah Vaughan Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-06-24
1508225616 Margaret Jordan Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-02-17
1487011144 Shauna Vogler Internal Medicine 619 E Mason St, Springfield, IL 62701-1034 2016-01-25
1871987750 Amy Durako Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2015-03-27
1215333604 Meredith Fleming Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2014-11-12
1154623585 Margie Douglas Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2010-11-17
1326378175 Angela K. Lafrenz Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2009-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687183 Affinity Patient Coordination LLC In Home Supportive Care 217 E Monroe St Ste 102, Springfield, IL 62701 2018-07-31
1427498435 Donald L Jacoby Pharmacist 701 N. First St., Springfield, IL 62701 2013-07-05
1700183480 Erin Zepp Dietitian, Registered 319 E Madison St Ste 1f, Springfield, IL 62701 2011-02-16
1518117159 Jyoti Assudani Pediatrics 301 N 8th Street, Springfield, IL 62701 2008-09-19
1396924148 Jeanne Lyn Malone Counselor 408 South Fifth Street, Springfield, IL 62701 2007-10-29
1942422928 Nobuharu Harada Family Medicine 301 N 8th, Pav-3a158, Springfield, IL 62701 2007-05-02
1427131127 Radiological Associates of Decatur Radiology 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 2006-10-24
1669498606 Independence Holding Co LLC Pharmacy 201 North 5th Street, Springfield, IL 62701 2006-07-14
1720070238 Neil J. Thomas Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St Ste 4p57, Springfield, IL 62701 2005-08-19
1588187397 Andrea Nicole Bloodworth Internal Medicine 619 E Mason St Ste 4p57, Springfield, IL 62701 2017-07-24
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740728039 Jenna Schrage Internal Medicine 317 N 5th St, Springfield, IL 62701-1003 2017-02-07
1770523532 Patrick Francis Adrian Magee Internal Medicine 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 2006-06-08
1669004966 Effingham Hospital, Inc. Internal Medicine 459 Highway 119 S Ste A, Springfield, GA 31329-3021 2020-02-05
1023520475 Michael Robert West Internal Medicine 417 Baltimore Pike, Springfield, PA 19064-3810 2017-10-25
1588187397 Andrea Nicole Bloodworth Internal Medicine 619 E Mason St Ste 4p57, Springfield, IL 62701 2017-07-24
1508225616 Margaret Jordan Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-02-17
1215333604 Meredith Fleming Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2014-11-12
1326486515 Maryna J Popp Internal Medicine 800 N 1st St, Springfield, IL 62702-3719 2013-06-10
1730425893 Nileshkumar J Patel Internal Medicine 800 N 1st St, Springfield, IL 62702 2012-12-18
1760770101 Bhuvnesh Aggarwal Internal Medicine 800 N 1st St, Springfield, IL 62702 2011-07-19
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62701

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Dataset Information

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.

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