MEDICARE: ANDREW H GOLDSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	3004	WI
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	29641	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518951284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW H GOLDSTEIN MD

Provider Business Mailing Address
First Line	:	7440 S 91ST ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68526
Country	:	US
Telephone Number	:	480-767-5544
Fax Number	:	480-245-7083

Provider Business Practice Location Address
First Line	:	7440 S 91ST ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68526
Country	:	US
Telephone Number	:	402-328-3756
Fax Number	:	402-328-3970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	05/28/2025

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