Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Thomas Goldberg, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942837414

Dr. Ethan Thomas Goldberg, DO is a Student in an Organized Health Care Education/Training Program in Kansas City, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3901 Rainbow Blvd # MS 3007
Kansas City, KS 66160-4720
Phone: (913) 588-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 9412131 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942837414
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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