Active NPI
Richard John Golz, M.D.
- Pediatrics Physician
- Muskegon, MI
National Provider Identifier
1073515607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301052957
- Practice address
- 3535 Park St
Suite 101
Muskegon, MI 49444-3736 - Phone
- (231) 739-2121
- Fax
- (231) 739-4130
- NPI assigned
- Aug 12, 2005
- Last updated
- Feb 22, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301052957 | MI | Primary |
Addresses
Primary practice location
3535 Park St
Suite 101
Muskegon, MI 49444-3736
Mailing address
821 Oakmere PL
North Muskegon, MI 49445-2962
Phone (231) 744-8664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4488420 | Medicaid | MI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301052957 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackley Life Counseling | Past | Accepting new patients | |
| Port City Pediatrics | Pediatrics | Past | Accepting new patients |
| Mercy Health Partners | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Norton Shores, MI
- NPI 1558413245
-
dba Mercy Health Partners - Life Counseling
- Clinical Social Worker
- Muskegon, MI
- NPI 1144525288
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1073515607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 OAKMERE PL",
"city": "NORTH MUSKEGON",
"state": "MI",
"postal_code": "494452962",
"telephone_number": "231-744-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 PARK ST",
"address_2": "SUITE 101",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494443736",
"telephone_number": "231-739-2121",
"fax_number": "231-739-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLZ",
"first_name": "RICHARD",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301052957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4488420",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.