Robert J Golz, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Herrin, IL
NPI 1184739716 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184739716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Practice address
- 510 Lincoln Ave
Southern Orthopedic Associates SC
Herrin, IL 62948 - Phone
- (618) 997-6800
- Fax
- (618) 998-9124
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.56 of 100
- Quality
- 83.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100721000590 | IL | Practitioner - Orthopedic Surgery | 6901881630 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Orthopedic Associates SC | Orthopaedic Surgery | Current |
Accepting new patients |
| Southern Illinois Medical Services, NFP | Past |
Accepting new patients |
Locations
305 W Jackson St
Ste 400
Carbondale, IL 62901
Phone (618) 351-4972
510 Lincoln Dr
Herrin, IL 62948
Phone (618) 997-3100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- golzr143@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | IL | Yes |
Addresses
Primary practice location
510 Lincoln Ave
Southern Orthopedic Associates SC
Herrin, IL 62948
Mailing address
510 Lincoln Ave
Southern Orthopedic Associates SC
Herrin, IL 62948
Phone (618) 997-6800
Other providers in Herrin, IL
- Gastroenterology Care of Southern Illinois, LLC
- Leon Gauthier
- Chanavia Marquetta Givens
- Terrence Glennon
- Macy Lane Goins
- Marta Gonzales
- Mary Frances Graham
- Stephanie R Gustave
- Zachary R Gustavison
- Lori M Guyton
All providers in Herrin, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.