Active NPI
Michelle Joann McGolden, ARNP
- Adult Health Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1407092638
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R0079133
- Practice address
- 7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458 - Phone
- (405) 232-0101
- NPI assigned
- Dec 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R0079133 | OK | Primary |
Addresses
Primary practice location
7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458
Mailing address
7 S Mickey Mantle Dr
Suite 325
Oklahoma City, OK 73104-2458
Phone (405) 232-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OK404154 | Other | OK | PTAN |
Other names 1
- Miss Michelle Joann Rogers
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0079133 | OK | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Physicians at Home, Inc | Past | Accepting new patients | |
| Physicians at Home, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Chandler, OK
- NPI 1447659768
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1487824595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1407092638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S MICKEY MANTLE DR",
"address_2": "SUITE 325",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042458",
"telephone_number": "405-232-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S MICKEY MANTLE DR",
"address_2": "SUITE 325",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042458",
"telephone_number": "405-232-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOLDEN",
"first_name": "MICHELLE",
"middle_name": "JOANN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OK",
"license": "R0079133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "OK404154",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ROGERS",
"middle_name": "JOANN",
"prefix": "MISS",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.