David Golden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

031420 Issued in CT

Practice address

36 Clark LN
Waterford, CT 06385-2310

Phone

(860) 442-5565

Fax

(860) 444-2673

NPI assigned

Aug 26, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.golden.npi1306954896.phpct@direct.optumcare.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment NPD
• Shoreline Family Practice LLP

  • Family Medicine Physician
  • Waterford, CT
  • NPI 1205943081
  NPD (past) Authorized official

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306954896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CLARK LN",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852310",
            "telephone_number": "860-442-5565",
            "fax_number": "860-444-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CLARK LN",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852310",
            "telephone_number": "860-442-5565",
            "fax_number": "860-444-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "031420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001314202",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ghislandi
• Nathaniel Gilman, PHARM.D.
• Valerie Peyton Gilson, COTA/L
• Goat Physical Therapy and Wellness LLC
• Aditi H Gohil, LPC
• John M Gonzalez, PH.D.
• Mithlesh Govil, M.D.
• Rosemary Grace
• Thomas Grayeck, R.PH.
• John Michael Greeley

• Family Medicine Physician in Waterford, CT
• Providers in Waterford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.