Stuart Charles Goldstein
Preventive Medicine, Public Health & General Preventive Medicine in Moscow, ID. Individual provider (NPI-1).
NPI number1013674837
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1013674837
- Entity type
- Individual (NPI-1)
- Name
- Stuart Charles Goldstein
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2021
- Certification date
- Nov 29, 2021
- Last updated
- Nov 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | M-6713 | ID | Yes |
Practice location
1010 Ranch RdMoscow, ID 83843-7484
Phone 208-310-2125
Mailing address
1010 Ranch RdMoscow, ID 83843-7484
Phone 208-310-2125
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