Deborah S. Golob, MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD00044606 Issued in WA

Legal business name

DEBORAH S. GOLOB, MD PLLC

Practice address

1603 116TH Ave NE
Ste 112
Bellevue, WA 98004-3009

Phone

(425) 454-0526

Fax

(425) 455-0076

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Sue Golob, MDNPI 1710192869

Title

Physician

Phone

(425) 454-0526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Deborah Sue Golob, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bellevue, WA
  • NPI 1710192869
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1407023930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 112",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-454-0526",
            "fax_number": "425-455-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 112",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-454-0526",
            "fax_number": "425-455-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH S. GOLOB, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "GOLOB",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-454-0526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00044606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Deallah
• Dean a Burnett DDS, Ms, PS
• Dean S Ricketts MD Inc PS
• Stephen L Dean, LMP
• Angela Debay
• Genenvieve Decantis, SLP
• Anthony Decicco, PHARMD
• Kathleen P Decker, M.D.
• Tammy Kay Decorte, GCFP
• Jessica Deer, MS, RDN, CD

• Medical Specialty Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.