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Contact Information

STEVEN B GOLDIN, MD PHD MPH CPH
5300 MEMORIAL DR
TWO RIVERS, WI54241-3923
 Phone: 920-793-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEVEN B GOLDIN · (Male)

NPI # 1114962248
Status Active
Credentials MD PHD MPH CPH
Entity Individual
Enumeration date 06/20/2006
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # D50663
  • WI License # 82540
  • MD Medicaid 261943100
  • WI Medicaid 100252615
  • FL Other 7685148 AETNA
  • FL Other P04478 FREEDOM
  • FL Other P203601 OPTIMUM
  • FL Other P01342438 RR MEDICARE
  • FL Other P01343444 RR MEDICARE
  • FL Other 998104 WELLCARE
Hospital affiliation(s)
  • FAWCETT MEMORIAL HOSPITAL - (Acute Care)
    21298 OLEAN BLVD
    PORT CHARLOTTE, FL 33952
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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