Individual
DR. CRAIG A GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 NW 68TH ST, KANSAS CITY, MO 64118-2455
(913) 322-6675
Mailing address
PO BOX 871248, KANSAS CITY, MO 64187-1248
(913) 322-6675
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0161122
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
DO161122
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0528836
KS
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
2000161122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100403850A
—
KS
05
—
245336706
—
MO
01
—
29257015
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/21/2005
Last updated
10/17/2024
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