Jack Golman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00017877 Issued in WA

Legal business name

JACK GOLMAN, MD

Doing business as

Auburn Internal Medicine

Practice address

803 Main St E
Aubun, WA 98002

Phone

(253) 833-3650

NPI assigned

Feb 6, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Goldman, M.D.NPI 1023065539

Title

Owner

Phone

(253) 833-3650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Auburn Internal Medicine Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Goldman, M.D.

  • Internal Medicine Physician
  • Auburn, WA
  • NPI 1023065539
  NPD (past) Authorized official
• Laura Louise Slee, ARNP

  • Adult Health Nurse Practitioner
  • Auburn, WA
  • NPI 1558654459
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1639218613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MAIN ST E",
            "city": "AUBUN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-833-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MAIN ST E",
            "city": "AUBUN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-833-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK GOLMAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-833-3650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00017877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7054935",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.