Active NPI
Robert J Golder, CRNA
- Certified Registered Nurse Anesthetist
- Ridley Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN505068L
- Practice address
- 175 E Chester Pike
Ridley Park, PA 19078-2284 - Phone
- (215) 442-5085
- Fax
- (877) 329-2370
- NPI assigned
- Sep 13, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN505068L | PA | Primary |
Addresses
Primary practice location
175 E Chester Pike
Ridley Park, PA 19078-2284
Mailing address
PO Box 650782
Dallas, TX 75265-0782
Phone (302) 733-0806
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00835760 | Other | PA | RAILROAD MEDICARE PTAN |
| 053606 | Other | PA | AANA NUMBER |
| 001910860 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (610) 645-2000
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (610) 526-3000
744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pinnacle Mid-Atlantic Pain Medicine, PC | Past | Accepting new patients |
Locations
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Havertown, PA
- NPI 1174799340
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1124013461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650782",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650782",
"telephone_number": "302-733-0806",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782284",
"telephone_number": "215-442-5085",
"fax_number": "877-329-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDER",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN505068L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00835760",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA NUMBER",
"identifier": "053606",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001910860",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.