Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mary Elisabeth Golub

Individual provider Physician Assistant · NPI 1477203644

MS. Mary Elisabeth Golub is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2024, 2 years ago. Practices with Tooele Clinic Corp, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1405 W Miner Loop Rd, South Jordan, UT 84095-1324 — (801) 903-3489

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14184873-1206 (UT)

Record details

NPI number1477203644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Tooele Clinic Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Salt Lake City