Ellen Golodner, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD26954 Issued in OR

Practice address

61425 Davis Lake Loop
Bend, OR 97702-1955

Phone

(541) 848-7360

NPI assigned

Dec 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1184609778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61425 DAVIS LAKE LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021955",
            "telephone_number": "541-848-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61425 DAVIS LAKE LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021955",
            "telephone_number": "541-848-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLODNER",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD26954",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "48989-020",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2006-0056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Goldstein, ED.D.
• Lillie Goldstein, LMT
• Ryan Dylan Goldstein
• Sydney Goldstein
• Michael J Golob, PA-C
• Julia Ruth Gomes, OTR/L
• Joanne Gomez-Arnold, MD
• Mark Edward Gonsky, DO
• Caroline Gonyea, DPT, PT
• Angelica Chan Gonzales, ND, RN

• Gastroenterology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Gastroenterology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.