Active NPI
Marshall J Golden, MD
- Diagnostic Radiology Physician
- Las Vegas, NV
National Provider Identifier
1750358008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 15601
- Practice address
- 2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894 - Phone
- (702) 759-8600
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 15601 | NV | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 20277 | MN |
Addresses
Primary practice location
2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Mailing address
11553 Snow Creek Ave
Las Vegas, NV 89135-1669
Phone (952) 212-1314
Other practice location 1
5775 Wayzata Boulevard
Suite 190
St Louis Park, MN 55416
Phone (952) 541-1840
Other practice location 2
11553 Snow Creek Ave
Las Vegas, NV 89135-1669
Phone (952) 212-1314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125290900 | Medicaid | MN |
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 |
|---|---|---|---|
| 20277 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | 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.
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1750358008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11553 SNOW CREEK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351669",
"telephone_number": "952-212-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064894",
"telephone_number": "702-759-8600"
}
],
"practiceLocations": [
{
"address_1": "5775 Wayzata Boulevard",
"address_2": "Suite 190",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "55416",
"country_code": "US",
"telephone_number": "952-541-1840",
"fax_number": "952-513-6880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11553 Snow Creek Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891351669",
"country_code": "US",
"telephone_number": "952-212-1314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDEN",
"first_name": "MARSHALL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "15601",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "20277",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125290900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.