Greg A Golly, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

501795 Issued in TX

Practice address

4041 W Wheatland Rd
156 343
Dallas, TX 75237-4064

Phone

(972) 223-7878

Fax

(972) 283-0284

NPI assigned

Dec 7, 2005

Last updated

Jan 29, 2016By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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

• Allied Anesthesia & Pain Management Consultants, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942327192
  NPD (past)
• Anesthesia Consultants of Dallas, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1578513768
  NPD (past)
• Forever Young Health Spa, P.a.

  • Pain Clinic/Center
  • Sunnyvale, TX
  • NPI 1134417926
  NPD (past)
• Gainesville Community Hospital, Inc.

  dba NTMC Specialty Group

  • General Practice Physician
  • Gainesville, TX
  • NPI 1942778816

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Gainesville Hospital District

  dba NTMC Orthopaedic Clinic

  • Clinic/Center
  • Gainesville, TX
  • NPI 1902317159
  NPD (past)
• Presbyterian Hospital of Dallas

  dba Crna-PHD

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1750335618

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1184609661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "156 343",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374064",
            "telephone_number": "972-223-7878",
            "fax_number": "972-283-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "156 343",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374064",
            "telephone_number": "972-223-7878",
            "fax_number": "972-283-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLY",
        "first_name": "GREG",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "501795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109937609",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109937607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8855UA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109937608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109937604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puneetha Santoshi Goli
• Agnieszka Golian, D.O.
• Makenzie Goll, PT, DPT
• Vidushi Gupta Golla, M.B.B.S
• Sheba Gollapudi, MD, MA
• Mandy Aleeza Golman, PHD, RN, IBCLC
• Vyacheslav B Golubov, AA
• Neel Hemant Golwala, M.D.
• Herbert Gomberg, M.D.
• Garrett Gomes, RN

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.