Active NPI
Jared Gollob
- Hematology & Oncology Physician
- Durham, NC
National Provider Identifier
1124129168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Practice address
- Duke University Medical Ctr
Dumc Box 3441
Durham, NC 27710-0001 - Phone
- (919) 971-1872
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NC | Primary |
Addresses
Primary practice location
Duke University Medical Ctr
Dumc Box 3441
Durham, NC 27710-0001
Mailing address
Duke University Medical Ctr
Dumc Box 3441
Durham, NC 27710-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200694 | NC | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124129168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DUKE UNIVERSITY MEDICAL CTR",
"address_2": "DUMC BOX 3441",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUKE UNIVERSITY MEDICAL CTR",
"address_2": "DUMC BOX 3441",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-971-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLOB",
"first_name": "JARED",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.