Individual
JOSHUA D GOLDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 W MAIN ST, STE. C, KENT, OH 44240-2400
(330) 677-3628
(330) 677-3626
Mailing address
307 W MAIN ST, STE. C, KENT, OH 44240-2400
(330) 677-3628
(330) 677-3626
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35085455
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35085455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
05
—
2596865
—
OH
01
—
7575756
AETNA
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
05/13/2006
Last updated
01/18/2016
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