Organization Active NPI

Joseph a. Golish, MD, Inc.

  • Specialist
  • Mentor, OH
National Provider Identifier
1023280211
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-038013 Issued in OH
Legal business name
JOSEPH A. GOLISH, MD, INC.
Practice address
7676 Reynolds Rd
Mentor, OH 44060-5127
Phone
(440) 918-7712
Fax
(440) 918-7714
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph A. Golish, MD
Title
Owner
Phone
(440) 918-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-038013 OH Primary

Addresses

Primary practice location

7676 Reynolds Rd
Mentor, OH 44060-5127

Mailing address

28099 Shaker Blvd
Pepper Pike, OH 44124-5003
Phone (440) 918-7712

Other identifiers 1

IdentifierTypeStateIssuer
0290911MedicaidOH

National Provider Directory

National Provider Directory

Locations

680 Moore Rd
Ste 202
Avon Lake, OH 44012

7676 Reynolds Rd
Mentor, OH 44060
Phone (440) 283-3015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1023280211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28099 SHAKER BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245003",
            "telephone_number": "440-918-7712",
            "fax_number": "440-918-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 REYNOLDS RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605127",
            "telephone_number": "440-918-7712",
            "fax_number": "440-918-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. GOLISH, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GOLISH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-918-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-038013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.