Provider Demographics
NPI:1306803143
Name:GOLDING, DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:GOLDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5233
Mailing Address - Country:US
Mailing Address - Phone:303-557-9747
Mailing Address - Fax:415-252-7176
Practice Address - Street 1:1692 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214
Practice Address - Country:US
Practice Address - Phone:303-557-9747
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0059727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY202066-7BOtherWORKERS COMP #
NY5997148OtherGHI PPO #
NYP00186558OtherMEDICARE RAILROAD #
NY00010303003OtherUNIVERA #
NY000524691003OtherHEALTH NOW BCBS WNY #
NY040426003015OtherFIDELIS CARE # FOR OBGYN
NY0109154OtherIHA #
NY040426003014OtherFIDELIS CARE #
NY159671BFOtherPREFERRED CARE #
NY0109154OtherIHA #
NYP00186558OtherMEDICARE RAILROAD #