Provider Demographics
NPI:1689633026
Name:GOLDEN, ANN SHEENAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:SHEENAN
Last Name:GOLDEN
Suffix:
Gender:F
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:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5247
Mailing Address - Country:US
Mailing Address - Phone:214-645-8740
Mailing Address - Fax:214-645-8271
Practice Address - Street 1:1801 INWOOD RD STE 210
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7202
Practice Address - Country:US
Practice Address - Phone:214-645-5363
Practice Address - Fax:214-645-3340
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO52367174400000X
GA059068207X00000X, 207XS0106X
TXL5343207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No174400000XOther Service ProvidersSpecialist
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA668868696FMedicaid
GA668868696GMedicaid
CO93934017Medicaid
GA668868696CMedicaid
TX159112501Medicaid
GA668868696DMedicaid
GA668868696EMedicaid
GA668868696AMedicaid
TX159112501Medicaid
H87384Medicare UPIN
GA4667320001Medicare NSC
COC39004Medicare PIN