Fred Goldstein (NPI# 1760786065, PAC ID# 0648568105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1760786065 |
| PAC ID by PECOS | 0648568105 |
| Professional Enrollment ID | I20161017000470 |
| Full Name | Fred Goldstein |
| Organization Legal Name | FOOTPRINTS PEDIATRIC INC |
| Address |
1415 Lincolnway W M Osceola IN 46561-2061 |
| Phone Number | 5746757767 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 5597841676 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1415 Lincolnway W M, Osceola, IN 46561-2061 | 5746757767 | FOOTPRINTS PEDIATRIC INC |
| 1415 Lincolnway W M, Pediatrics Orthopedics and Spine Therapy Center, Osceola, IN 46561-2061 | 5746757767 | FOOTPRINTS PEDIATRIC INC |
| Organization Legal Name | FOOTPRINTS PEDIATRIC INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pravina S Lahane | Occupational Therapy | Footprints Pediatric Inc | 1415 Lincolnway W M, Pediatrics Orthopedics and Spine Therapy Center, Osceola, IN 46561-2061 |
| Rommel P Arevalo | Physical Therapy | Footprints Pediatric Inc | 1415 Lincolnway W M, Pediatrics Orthopedics and Spine Therapy Center, Osceola, IN 46561-2061 |
| Liwayway C Arevalo | Physical Therapy | Footprints Pediatric Inc | 1415 Lincolnway W M, Osceola, IN 46561-2061 |
| Jennie R Siri | Speech Language Pathologist | Footprints Pediatric Inc | 1415 Lincolnway W M, Osceola, IN 46561-2061 |
| Street Address |
1415 LINCOLNWAY W M |
| City | OSCEOLA |
| State | IN |
| Zip | 46561-2061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pravina S Lahane | Occupational Therapy | Footprints Pediatric Inc | 1415 Lincolnway W M, Pediatrics Orthopedics and Spine Therapy Center, Osceola, IN 46561-2061 |
| Rommel P Arevalo | Physical Therapy | Footprints Pediatric Inc | 1415 Lincolnway W M, Pediatrics Orthopedics and Spine Therapy Center, Osceola, IN 46561-2061 |
| Liwayway C Arevalo | Physical Therapy | Footprints Pediatric Inc | 1415 Lincolnway W M, Osceola, IN 46561-2061 |
| Jennie R Siri | Speech Language Pathologist | Footprints Pediatric Inc | 1415 Lincolnway W M, Osceola, IN 46561-2061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald P Warren | Chiropractic | Spinalign PC | 5432 Lincolnway E, Osceola, IN 46561-1960 |
| Steven C Obert | Chiropractic | Spinalign PC | 5432 Lincolnway E, Osceola, IN 46561-1960 |
| Zac Williams | Chiropractic | Spinalign PC | 5432 Lincolnway E, Osceola, IN 46561-1960 |
| Ronald William Powell | Family Medicine | 410 Lincolnway W, Suite 102, Osceola, IN 46561-2676 | |
| John M Graham | Orthopedic Surgery | 320 Lincolnway E, Osceola, IN 46561-2767 |
| City | OSCEOLA |
| Zip Code | 46561 |
| Specialty | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | OSCEOLA + SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Fred Goldstein.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.