Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35-073154 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35-073154 | OH |
NPI | 1255350070 |
---|---|
Provider Name | Robert N. Goldstein |
First Address | Concord Twp, OH 44077-9176 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000224368 | UNISON (01) | OH |
000000539423 | ANTHEM (01) | OH |
2328378 | (05) | OH |
363567 | WELLCARE (01) | OH |
60068863 | RAILROAD MEDICARE (01) | OH |
741773 | BUCKEYE (01) | OH |
7454365 | AETNA (01) | OH |
H60231 | (02) | |
P00425408 | RAILROAD MEDICARE (01) | OH |