NPIMap

Individual provider Active NPI

Eric J Haacke-Golden, MD

  • Family Medicine Physician
  • Henrico, VA
National Provider Identifier
1013904515
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101228662 Issued in VA
Practice address
3400 Haydenpark LN Ste 300
Henrico, VA 23233-7867
Phone
(804) 998-1600
Fax
(804) 998-1601
NPI assigned
Sep 30, 2005
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101228662 VA Primary

Addresses

Primary practice location

3400 Haydenpark LN Ste 300
Henrico, VA 23233-7867

Mailing address

3400 Haydenpark LN Ste 300
Henrico, VA 23233-7867
Phone (804) 998-1600

Other identifiers 2

IdentifierTypeStateIssuer
C08279OtherMEDICARE PTAN
5640938MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000504 VA Practitioner - Family Practice 6406952563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partner MD PCGroup PAC ID 8022002617, 24 clinicians

Practice addresses (Care Compare)

7001 Forest Ave
Suite 302
Richmond, VA 23230-1726
Phone (804) 282-2655

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Partner MD PC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Commonwealth Primary Care Family Medicine CurrentSince Nov 1, 2016 Accepting new patients

Locations

13901 Coalfield Commons Pl
Midlothian, VA 23114
Phone (804) 420-1200

2367 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 323-1264

7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141

1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399

1800 Glenside Dr
Ste 110
Richmond, VA 23226
Phone (804) 288-1800

3400 Haydenpark Ln
Ste 300
Richmond, VA 23233
Phone (804) 998-1600

7001 Forest Ave
Ste 302
Richmond, VA 23230
Phone (703) 288-3750

Interoperability endpoints

  • Direct secure messaging: eric.haacke-golden.1@2180.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1013904515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HAYDENPARK LN STE 300",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337867",
            "telephone_number": "804-998-1600",
            "fax_number": "804-323-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HAYDENPARK LN STE 300",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337867",
            "telephone_number": "804-998-1600",
            "fax_number": "804-998-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAACKE-GOLDEN",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101228662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C08279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5640938",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.