Individual provider Active NPI

Neil E Golan, MD

  • Family Medicine Physician
  • Auburn, WA
National Provider Identifier
1407969314
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00036321 Issued in WA
Practice address
735 12TH St SE
Auburn, WA 98002-6709
Phone
(253) 876-7997
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 MD00036321 WA Primary

Addresses

Primary practice location

735 12TH St SE
Auburn, WA 98002-6709

Mailing address

PO Box 5299
Tacoma, WA 98415-0299
Phone (253) 876-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20100315000616 WA Practitioner - Family Practice 9133254238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Washington PLLCGroup PAC ID 2264320837, 73 clinicians

Practice addresses (Care Compare)

309 E Farwell Rd
Suite 204
Spokane, WA 99218-8207
Phone (509) 474-9838

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00036321WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Multicare Health System Family Medicine CurrentSince Aug 10, 1998 Accepting new patients
Family Medicine Liberty Lake P C Family Medicine CurrentSince Nov 23, 2021 Accepting new patients
Multicare Health System CurrentSince Aug 10, 1998 Accepting new patients
Wandermere Family Medicine LLC Family Medicine CurrentSince Dec 16, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Privia Medical Group Washington, PLLC Family Medicine CurrentSince Dec 9, 2024 Accepting new patients

Locations

735 12th St SE
Auburn, WA 98002
Phone (253) 867-7990

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1431 N Liberty Lake Rd
#B
Liberty Lake, WA 99019
Phone (509) 342-3990

309 E Farwell Rd
Ste 204
Spokane, WA 99218
Phone (509) 385-0600

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
  • Direct secure messaging: neil.golan.1@28594.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1407969314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299",
            "telephone_number": "253-876-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 12TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026709",
            "telephone_number": "253-876-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAN",
        "first_name": "NEIL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00036321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.