John W. Golden, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036062709 Issued in IL

Practice address

319 18TH St
Rock Island, IL 61201-8715

Phone

(309) 781-0805

Fax

(309) 429-6471

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

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

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1417943499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 31ST AVENUE CT",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656941",
            "telephone_number": "309-781-0805",
            "fax_number": "309-429-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 18TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018715",
            "telephone_number": "309-781-0805",
            "fax_number": "309-429-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062709",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.power2practice.net",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "address_1": "319 18th St",
            "city": "Rock Island",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612018715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@goldencenterhealing.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "319 18th St",
            "city": "Rock Island",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612018715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Charles Gillman, DDS
• Amber Kay Gipple
• Jamie Gloar, FNP
• Mary Beth Gloeckner, APN
• Golden Center for Health & Healing, LLC
• Samantha Goman
• Maria Alicia Gomez, M.S. ED
• Robert A Goodloe, PHARM D
• Kaleb Goodlow
• Alissa A Gordon, APN, DNP

• Family Medicine Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.