Anthony E Golden, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085003163 Issued in IL

Practice address

11921 S Cicero Ave
Alsip, IL 60803-2320

Phone

(708) 579-4900

NPI assigned

May 14, 2008

Last updated

May 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1477720886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 S CICERO AVE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608032320",
            "telephone_number": "708-579-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 S CICERO AVE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608032320",
            "telephone_number": "708-579-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Willow Springs Rd",
            "address_purpose": "LOCATION",
            "city": "LA Grange Highlands",
            "state": "IL",
            "postal_code": "605254591",
            "country_code": "US",
            "telephone_number": "708-579-4900",
            "fax_number": "708-579-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "ANTHONY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Alsip, IL
• Providers in Alsip, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.