Mark A. Golden, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3004618 Issued in KY

Practice address

60 S Stewart Rd
Corbin, KY 40701-4675

Phone

(606) 528-9770

Fax

(606) 528-9769

NPI assigned

Apr 5, 2006

Last updated

Jul 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1104888908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "SUTIE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173062",
            "telephone_number": "606-528-9770",
            "fax_number": "606-528-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S STEWART RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014675",
            "telephone_number": "606-528-9770",
            "fax_number": "606-528-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015799",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00884115",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Gipson
• Glen Ray Baker Jr P S C
• Daniel Jason Goforth
• Courtney Renee Goins
• Helen Fay Goins, MA, LCADC
• Phillip L. Goldston, NP
• Annette L. Goodin, D.I
• Thomas Wayne Goodin Jr., PHARMD
• Grace (Grace Health Pharmacy-Medical Campus)
• Grace Community Health Center Inc (Bishop Street Pharmacy)

• Nurse Practitioner in Corbin, KY
• Providers in Corbin, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.