Active NPI
Mary C Golubski, CRNA
- Certified Registered Nurse Anesthetist
- Munster, IN
National Provider Identifier
1497883375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28149952A
- Practice address
- 901 Macarthur Boulevard
Munster, IN 46321-2901 - Phone
- (219) 836-1600
- Fax
- (219) 513-1127
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28149952A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Boulevard
Munster, IN 46321-2901
Mailing address
901 Macarthur Boulevard
Anesthesia Department
Munster, IN 46321-2901
Phone (219) 836-7040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200332010A | Medicaid | IN | |
| 000000192506 | Other | IN | ANTHEM BCBS |
Other names 1
- Mary C Priestley
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1952308223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1497883375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MACARTHUR BOULEVARD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-7040",
"fax_number": "219-513-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BOULEVARD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-1600",
"fax_number": "219-513-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLUBSKI",
"first_name": "MARY",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28149952A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200332010A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000192506",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "PRIESTLEY",
"middle_name": "C",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.