Individual
STEVEN J GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 CLEVIDENCE BLVD, STE. 1, CLARKSVILLE, IN 47129-2278
(812) 280-9145
(812) 280-6627
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01041381A
IN
207R00000X
Internal Medicine Physician
29515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000050979
ANTHEM / NCMA
KY
01
—
000023031C
HUMANA / NCMA
KY
01
—
004347
SIHO / NCMA
KY
05
—
100077580
—
IN
01
—
110138273
RAILROAD MEDICARE
IN
01
—
1193979
CHA / NCMA
KY
01
—
2447475000
PASSPORT ADVANTAGE / NCMA
KY
01
—
2561692
CIGNA / NCMA
KY
01
—
50006207
PASSPORT / NCMA
KY
05
—
64124845
—
KY
01
—
P00711460
RAILROAD MEDICARE - KY
KY
Enumeration date
04/19/2006
Last updated
11/10/2014
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