Active NPI
Golian Proctology LLC
- Colon & Rectal Surgery Physician
- Fort Wayne, IN
National Provider Identifier
1164326062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- GOLIAN PROCTOLOGY LLC
- Practice address
- 5534 Saint Joe Rd
Fort Wayne, IN 46835-3328 - Phone
- (317) 645-5120
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shiva Golian, DO
- Title
- Physician
- Phone
- (317) 645-5120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | NU | Primary |
Addresses
Primary practice location
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Mailing address
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone (317) 645-5120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1164326062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 SAINT JOE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353328",
"telephone_number": "317-645-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5534 SAINT JOE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353328",
"telephone_number": "317-645-5120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLIAN PROCTOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "GOLIAN",
"authorized_official_first_name": "SHIVA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "317-645-5120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.