Provider Demographics
NPI:1114981131
Name:GOLDSMITH MEDICAL COMPANY
Entity Type:Organization
Organization Name:GOLDSMITH MEDICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GOLDSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-426-5400
Mailing Address - Street 1:1926 INNERBELT BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-5760
Mailing Address - Country:US
Mailing Address - Phone:314-426-5400
Mailing Address - Fax:314-426-5550
Practice Address - Street 1:1926 INNERBELT BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63114-5760
Practice Address - Country:US
Practice Address - Phone:314-426-5400
Practice Address - Fax:314-426-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0168280001Medicare ID - Type Unspecified
MO0168280001Medicare ID - Type Unspecified