| Dr Randall Aaron Goldstein, DO | |
|
2111 E Kansas City Rd, Olathe, KS 66061-7050 | |
| (913) 220-5724 | |
| (913) 222-1907 |
| Full Name | Dr Randall Aaron Goldstein |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2111 E Kansas City Rd, Olathe, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700802295 | NPI | - | NPPES |
| 1700802295 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 29058 (Kansas) | Primary |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Aaron Goldstein, DO 2111 E Kansas City Rd, Olathe, KS 66061-7050 Ph: (913) 220-5724 | Dr Randall Aaron Goldstein, DO 2111 E Kansas City Rd, Olathe, KS 66061-7050 Ph: (913) 220-5724 |
Pamela A Mckean, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20930 W 151st St, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Dr. Tara Jill Grimaldi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20930 W 151st, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Carlos Manuel Monzon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20930 W 151st St, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Dr. Chet Daniel Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23450 College Blvd, Olathe, KS 66061 Phone: 913-764-7788 Fax: 913-764-6088 | |
Dr. Heather M Baker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20930 W 151st St, Olathe, KS 66061 Phone: 913-782-2525 Fax: 913-782-9307 | |
Dr. O. Keith Enlow, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 824 W Frontier Ln, Olathe, KS 66061 Phone: 913-764-7060 Fax: 913-764-8059 | |
Dr. Samah Ribhi Murad, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17516 W 158th St, Olathe, KS 66062 Phone: 913-768-0422 |