Glenn D Goldstein (NPI# 1164460994, PAC ID# 6305747866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1164460994 |
| PAC ID by PECOS | 6305747866 |
| Professional Enrollment ID | I20111214000944 |
| Full Name | Glenn D Goldstein |
| Organization Legal Name | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| Address |
11550 Granada St Leawood KS 66211-1453 |
| Phone Number | 9134517546 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5294721486 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11550 Granada St, Leawood, KS 66211-1453 | 9134517546 | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 90% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Teel | Nurse Practitioner | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Tamera Jo Wolf | Nurse Practitioner | Dermatology and Skin Cancer Specialists LLC | 17067 E Outer Rd, Suite 200, Belton, MO 64012-2100 |
| Leslie L Turk | Dermatology | Dermatology and Skin Cancer Specialists LLC | 9314 Normandie Dr, Shreveport, LA 71118-3866 |
| Elizabeth A Spenceri | Dermatology | Dermatology and Skin Cancer Specialists LLC | 7901 W 135th St, Overland Park, KS 66223-1201 |
| Christopher Chase Surek | Plastic and Reconstructive Surgery | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Nicholas Crowley | Dermatology | Dermatology and Skin Cancer Specialists LLC | 8380 N Tullis Ave, Kansas City, MO 64158-7612 |
| Kathryn Lee Serowka Lane | Dermatology | Dermatology and Skin Cancer Specialists LLC | 8380 N Tullis Ave, Kansas City, MO 64158-7612 |
| Colin A Ruff | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Julie Ann Green | Dermatology | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Mark H Fleischman | Dermatology | Dermatology and Skin Cancer Specialists LLC | 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 |
| Street Address |
11550 GRANADA ST |
| City | LEAWOOD |
| State | KS |
| Zip | 66211-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin A Ruff | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Karen E Neubauer | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Angela M Bosch | Physician Assistant | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Daniel P Bortnick | Plastic and Reconstructive Surgery | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Celeste A Angel | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Megan Phillips Lent | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Michael L Haag | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Anne M Blake | Dermatology | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Judy Ky | Physician Assistant | Dermatology and Skin Cancer Specialists LLC | 11550 Granada St, Leawood, KS 66211-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell P Miller | Clinical Social Worker | 8400 W 110th, 410 Comprehensive Counseling, Overland Park, KS 66211 | |
| Janice M Scott | Psychiatry | Fss Psychiatric, LLC | 10711 Barkley St, Overland Park, KS 66211-1161 |
| Elizabeth J Friedman | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Fang Fan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Janet M Woodroof | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Rashna Madan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Thomas A Franey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Brian L Mccroskey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Juan Carlos C Correa | Vascular Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Chelsey L Holden | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Find all physicians in zip 66211 | |||
| City | LEAWOOD |
| Zip Code | 66211 |
| Specialty | DERMATOLOGY |
| City + Specialty | LEAWOOD + DERMATOLOGY |
Please comment or provide details below to improve the information on Glenn D 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.