| Glenn D Goldstein, MD | |
|
11550 Granada Ln, Leawood, KS 66211-1453 | |
| (913) 451-7546 | |
| Not Available |
| Full Name | Glenn D Goldstein |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 11550 Granada Ln, Leawood, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164460994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 04-19680 (Kansas) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 04-19680 (Kansas) | Primary |
| Entity Name | Dermatology And Skin Cancer Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366632697 PECOS PAC ID: 5294721486 Enrollment ID: O20040422001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn D Goldstein, MD 11550 Granada Ln, Leawood, KS 66211-1453 Ph: (913) 451-7546 | Glenn D Goldstein, MD 11550 Granada Ln, Leawood, KS 66211-1453 Ph: (913) 451-7546 |
Colin A Ruff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada St, Leawood, KS 66211 Phone: 913-451-7546 | |
Mark H Fleischman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 | |
Karen E Neubauer, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 Fax: 913-663-2422 | |
Shawn R Sabin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada Ln, Leawood, KS 66211 Phone: 913-451-7546 | |
James V. Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11301 Nall Ave Ste 205, Leawood, KS 66211 Phone: 913-451-5934 Fax: 913-451-4716 | |
Celeste A Angel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11550 Granada St, Leawood, KS 66211 Phone: 913-451-7546 Fax: 913-663-2411 |