Duane T Golomb MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6442 Issued in RI

Legal business name

DUANE T GOLOMB MD INC

Practice address

766 Washington St
Corentry, RI 02816

Phone

(401) 822-2772

Fax

(401) 821-5260

NPI assigned

Sep 6, 2006

Last updated

Aug 22, 2020By 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

Dr. Duane Thomas Golomb, MDNPI 1801924170

Title

President

Phone

(401) 822-2772

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Duane Thomas Golomb, MD

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1801924170
  Authorized official Same address or phone

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912000894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 WASHINGTON ST",
            "city": "CORENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-822-2772",
            "fax_number": "401-821-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 WASHINGTON ST",
            "city": "CORENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-822-2772",
            "fax_number": "401-821-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE T GOLOMB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLOMB",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-822-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "6442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006908",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.