Dr. Scott Jason Goldstein, M.D.
Pediatrics in Chicago, IL. Individual provider (NPI-1).
NPI number1144239591
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144239591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Jason Goldstein
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2006
- Last updated
- Jul 8, 2007
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 |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036109209 | IL | Yes |
Practice location
680 N Lake Shore DrSte 123
Chicago, IL 60611-4546
Phone 312-642-5515 · Fax 312-642-0753
Mailing address
1242 S Federal StD
Chicago, IL 60605-3388
Phone 312-663-6030
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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