ILYSSA GOLDING MD NPI 1063448371

NPI Information

NPI: 1063448371
Provider Name: ILYSSA GOLDING, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 268-7111
Get Directions

Ilyssa Golding, MD is a diagnostic radiology radiology in Salt Lake City, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ilyssa Golding, MD NPI is 1063448371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124-300
Phone: (801) 268-7111
Fax: (801) 296-6199

The enumeration date for this NPI number is 6/26/2006 and was last updated on 1/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G78242	CALIFORNIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	8295697-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G65549	MEDICARE UPIN	CALIFORNIA
2	WG78242F	MEDICARE PIN	CALIFORNIA
3	1063448371	OTHER	UTAH	TRICARE
4	138686	OTHER	UTAH	PEHP
5	1063448371	OTHER	UTAH	UNIVERSITY OF UTAH HEALTH PLANS
6	1063448371	OTHER	UTAH	MOLINA HEALTHCARE
7	1063448371	OTHER	UTAH	EMI HEALTH
8	P01075932	OTHER	UTAH	RAILROAD MEDICARE
9	00G782420	OTHER	CALIFORNIA	BLUE SHIELD
10	WG78242D	MEDICARE PIN	CALIFORNIA
11	939166	OTHER	UTAH	WINDSOR HEALTH PLAN MEDICAREEXTRA/STERLING HEALTH PLAN
12	567412	OTHER	UTAH	DESERET MUTUAL BENEFIT ADMINISTRATORS
13	1063448371	MEDICAID	UTAH
14	U000076472	MEDICARE PIN	UTAH
15	10000007105001	OTHER	UTAH	REGENCE BCBSU
16	00G782420	MEDICAID	CALIFORNIA
17	WG782242E	MEDICARE PIN	CALIFORNIA
18	WG78242G	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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