| NPI | 1053430975 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-03-29 |
| Last Updated | 2019-01-07 |
| Mailing Address | 1650 W Rosedale St Ste 100 Fort Worth, TX 76104-7400 United States Phone: (817) 338-1131 | Fax: (817) 877-1511 📍 View Map |
| Primary Practice Address | 1650 W Rosedale St Ste 100 Fort Worth, TX 76104-7400 United States Phone: (817) 338-1131 | Fax: (817) 877-1511 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 083588601 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 174400000X – Specialist | TX | E8262 |
| Yes | 207P00000X – Emergency Medicine | TX | E8262 |
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About NPI 1053430975
Paul Jay Goldman M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053430975. The primary specialty listed is Emergency Medicine. The provider is located in Fort Worth, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053430975?
NPI 1053430975 belongs to Paul Jay Goldman M.D., a Emergency Medicine in Fort Worth, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053430975 active?
The current status of NPI 1053430975 in the NPPES registry is Active. The record was last updated on 2019-01-07.
What specialty is NPI 1053430975?
NPI 1053430975 is classified under the taxonomy Emergency Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053430975?
You can verify NPI 1053430975 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053430975?
The primary practice address on file for NPI 1053430975 is 1650 W Rosedale St Ste 100, Fort Worth, TX 76104-7400. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053430975 issued?
NPI 1053430975 was first issued (enumerated) on 2007-03-29. The NPPES record was last updated on 2019-01-07.
Practice Location Map
Paul Jay Goldman is located at 1650 W Rosedale St Ste 100, Fort Worth, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Paul Jay Goldman. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053430975. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | E8262 | TX |
| Emergency Medicine | E8262 | TX |