Individual provider Active NPI

June S Goldman, M.D.

  • Family Medicine Physician
  • Nine Mile Falls, WA
National Provider Identifier
1285604892
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00020871 Issued in WA
Practice address
5952 Blackstone Way
Lake Spokane Community Health Center
Nine Mile Falls, WA 99026-4900
Phone
(509) 464-3627
Fax
(509) 466-9517
NPI assigned
Jan 25, 2006
Last updated
Mar 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00020871 WA Primary

Addresses

Primary practice location

5952 Blackstone Way
Lake Spokane Community Health Center
Nine Mile Falls, WA 99026-4900

Mailing address

5952 Blackstone Way
Lake Spokane Community Health Center
Nine Mile Falls, WA 99026-4900
Phone (509) 464-3627

Other identifiers 3

IdentifierTypeStateIssuer
080010938OtherWARR MEDICARE
23020OtherWAL&I
1034735MedicaidWA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00020871WAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1285604892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 BLACKSTONE WAY",
            "address_2": "LAKE SPOKANE COMMUNITY HEALTH CENTER",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990264900",
            "telephone_number": "509-464-3627",
            "fax_number": "509-466-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 BLACKSTONE WAY",
            "address_2": "LAKE SPOKANE COMMUNITY HEALTH CENTER",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990264900",
            "telephone_number": "509-464-3627",
            "fax_number": "509-466-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JUNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00020871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080010938",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "23020",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034735",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nine Mile Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.