Individual provider Active NPI

Eileen C Golway, DMD

  • Dentist
  • Gainesville, FL
National Provider Identifier
1871918391
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11267 Issued in FL
Practice address
6801 NW 9 Blvd
Suite #3
Gainesville, FL 32605
Phone
(352) 333-3683
Fax
(352) 333-3684
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN11267 FL Primary

Addresses

Primary practice location

6801 NW 9 Blvd
Suite #3
Gainesville, FL 32605

Mailing address

6801 NW 9TH Blvd
Suite #3
Gainesville, FL 32605
Phone (352) 333-3683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000976 FL Order and Referring Only - DentistPractitioner - General PracticePractitioner - Dentist 8123324217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN11267FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eileen C Golway DMD PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1871918391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 NW 9TH BLVD",
            "address_2": "SUITE #3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-333-3683",
            "fax_number": "352-333-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 9 BLVD",
            "address_2": "SUITE #3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-333-3683",
            "fax_number": "352-333-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLWAY",
        "first_name": "EILEEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.