Active NPI
Devon N Golding, MD
- Family Medicine Physician
- Saint Louis, MO
National Provider Identifier
1942288006
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 19, 2020.
- Section 1128a(1) exclusion effective Mar 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R2F38
- Practice address
- 3535 S Jefferson Ave
Saint Louis, MO 63118-3930 - Phone
- (314) 664-4808
- Fax
- (314) 772-0600
- NPI assigned
- Jan 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R2F38 | MO | Primary |
Addresses
Primary practice location
3535 S Jefferson Ave
Saint Louis, MO 63118-3930
Mailing address
3535 S Jefferson Ave
Saint Louis, MO 63118-3930
Phone (314) 664-4808
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202210829 | Medicaid | MO | |
| P00306956 | Other | MO | RAILROAD MEDICARE |
| 080154726 | Other | MO | RAILROAD MEDICARE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2F38 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Medical Information SVCS | Family Medicine | Past | Accepting new patients |
| On Call Physicians, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1528046489
-
- Emergency Medical Services (Emergency Medicine) Physician
- Saint Louis, MO
- NPI 1346228202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1942288006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 S JEFFERSON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183930",
"telephone_number": "314-664-4808",
"fax_number": "314-772-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S JEFFERSON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183930",
"telephone_number": "314-664-4808",
"fax_number": "314-772-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDING",
"first_name": "DEVON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-08",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R2F38",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202210829",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00306956",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080154726",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.