Active NPI
Richard Elliot Golden, M.D.
- Neurology Physician
- Minneapolis, MN
National Provider Identifier
1033113089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 23334
- Practice address
- 2828 Chicago Avenue
Suite 200
Minneapolis, MN 55407 - Phone
- (612) 879-1000
- Fax
- (612) 879-0722
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 23334 | MN | Primary |
Addresses
Primary practice location
2828 Chicago Avenue
Suite 200
Minneapolis, MN 55407
Mailing address
2828 Chicago Avenue
Suite 200
Minneapolis, MN 55407
Phone (612) 879-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051062900 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23334 | MN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Diagnostics LLC Il | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Chicago, IL
- NPI 1669298055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1033113089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 CHICAGO AVENUE",
"address_2": "SUITE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-879-1000",
"fax_number": "612-879-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 CHICAGO AVENUE",
"address_2": "SUITE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-879-1000",
"fax_number": "612-879-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "RICHARD",
"middle_name": "ELLIOT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "23334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051062900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.