Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000626 | CT |
Y | 222Z00000X | Podiatrist | 000626 | CT |
N | 213E00000X | Podiatrist | N005083 | NY |
N | 222Z00000X | Podiatrist | N005083 | NY |
N | 213ES0131X | Foot Surgery | 000626 | CT |
NPI | 1164424859 |
---|---|
Provider Name | Dr. Ellen Golden |
First Address | Greenwich, CT 06831-5351 |
Second Address | Greenwich, CT 06831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 24/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004143161 | (05) | CT |
01000626 | CIGNA (01) | CT |
015403940 | (05) | NY |
030000626CT01 | ANTHEM BC/BS (01) | CT |
1548287519 | MEDICARE (01) | CT |
1548287519 | MEDICARE NPI (01) | CT |
480022148 | RAILROAD MEDICARE (01) | |
505409 | AETNA US HEALTHCARE (01) | CT |
5962075 | AETNA (01) | CT |
6200846 | GHI (01) | NY |
U43725 | (02) | CT |
ZS738 | OXFORD (01) | CT |