Wade Thomas Goolishian, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

70330 Issued in MA

Practice address

27 Park St
Cape Cod Hospital Anesthesia Dept
Hyannis, MA 02601-5230

Phone

(508) 771-1800

Fax

(508) 790-4674

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Springfield Anesthesia Service, Inc.

  • Anesthesiology Physician
  • Springfield, MA
  • NPI 1093768830
  NPD (past)
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144252289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "UNIT B",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013127",
            "telephone_number": "508-775-5011",
            "fax_number": "508-775-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "address_2": "CAPE COD HOSPITAL ANESTHESIA DEPT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-771-1800",
            "fax_number": "508-790-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLISHIAN",
        "first_name": "WADE",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "70330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092313",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zelda Leigh Gonet, LSW
• Jaclyn Gonsalves
• Rosemary Gonzalez
• Earl Anthony Gooden, MD
• Isaac Goodman, PA-C
• Bruce Roderick Gordon, M.D.
• Daniel R Gorin, MD
• Nirmal Rajendra Gosalia, MD
• Jennifer Gounaris, RN
• Cherie M Gravelle-Stulsky, MSW

• Anesthesiology Physician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Anesthesiology Physician in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.