EDGAR CLINTON GOLDSTON JR. M.D.
NPI 1942492079
Physical Medicine & Rehabilitation - Pain Medicine in Salt Lake City, UT

Q: What is Edgar Goldston's NPI number?

The NPI number for Edgar Goldston is 1942492079. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Q: What is Edgar Goldston's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Goldston was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2007PECOS Enrolled

175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132(801) 581-6908(801) 581-4135 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edgar Clinton Goldston Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR CLINTON GOLDSTON JR. M.D. (NPI 1942492079) is an individual pain medicine provider in Salt Lake City, Utah, licensed in Utah (90-182672-1205) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942492079

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameEDGAR CLINTON GOLDSTON JR.Credential: M.D.

Location Address175 NORTH MEDICAL DRIVE EASTSalt Lake City, UT 84132-2303

Mailing Address175 North Medical Drive EastSalt Lake City, UT 84132-2303 · (801) 581-6908 · Fax (801) 581-4135

Phone(801) 581-6908

Fax(801) 581-4135

Sole ProprietorNo

Enumeration DateAugust 13, 2007

Last NPPES UpdateAugust 14, 2007

✔ NPI 1942492079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in UT · 90-182672-1205

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

175 NORTH MEDICAL DRIVE EAST, Salt Lake City, UT 84132

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Clinton Goldston Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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