Organization Active NPI

Lori Golon MD PA

  • Pediatrics Physician
  • Leavenworth, KS
National Provider Identifier
1376747915
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0428097 Issued in KS
Legal business name
LORI GOLON MD PA
Doing business as
Lori Golon MD PA
Practice address
1001 6TH Ave
Suite 210
Leavenworth, KS 66048-3222
Phone
(913) 682-3920
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Lori Ann GolonNPI 1114019593
Title
Authorized Official
Phone
(913) 682-3920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0428097 KS Primary

Addresses

Primary practice location

1001 6TH Ave
Suite 210
Leavenworth, KS 66048-3222

Mailing address

19800 Metcalf Ave # MB36
Stilwell, KS 66085-2600
Phone (913) 379-2266

Other names 1

  • LORI GOLON MD PA Doing business as

National Provider Directory

National Provider Directory

Locations

19800 Metcalf Ave
Unit 36
Stilwell, KS 66085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1376747915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19800 METCALF AVE # MB36",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660852600",
            "telephone_number": "913-379-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 6TH AVE",
            "address_2": "SUITE 210",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483222",
            "telephone_number": "913-682-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI GOLON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "GOLON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "913-682-3920"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0428097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LORI GOLON MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.