Mary Golub
NPI 1477203644 · Physician Assistant · South Jordan, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Golub is a Physician Assistant provider in South Jordan, UT (NPI 1477203644).
Provider details
- NPI number
- 1477203644
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14184873-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-28
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Mary Golub's NPI number?
- Mary Golub's National Provider Identifier (NPI) is 1477203644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Golub's specialty?
- Mary Golub is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Golub located?
- Mary Golub's practice location on file with NPPES is 1405 W Miner Loop Rd, South Jordan, UT 84095-1324.
- What is Mary Golub's phone number?
- The practice phone number listed in the NPPES registry for Mary Golub is (801) 903-3489.
- Does Mary Golub accept Medicare?
- Mary Golub is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Golub's NPI active?
- Yes — Mary Golub's NPI (1477203644) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.