Active NPI
Pamela P. Golden, M.D.
- Obstetrics & Gynecology Physician
- Tucson, AZ
National Provider Identifier
1417953639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 23410
- Practice address
- 2370 N Wyatt Dr
Ste 130
Tucson, AZ 85712-2119 - Phone
- (520) 327-3115
- Fax
- (520) 881-0014
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 23410 | AZ | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | G61367 | CA |
Addresses
Primary practice location
2370 N Wyatt Dr
Ste 130
Tucson, AZ 85712-2119
Mailing address
PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 327-3115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318304 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23410 | AZ | MD | Obstetrics & Gynecology Physician |
| G61367 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1417953639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43160",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857333160",
"telephone_number": "520-327-3115",
"fax_number": "520-881-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 N WYATT DR",
"address_2": "STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122119",
"telephone_number": "520-327-3115",
"fax_number": "520-881-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "PAMELA",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "23410",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G61367",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318304",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.