Jacqueline Blutcher Gollman, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME 0037797 Issued in FL

Practice address

205 Martin Luther King, Jr. St. No.
Pinellas County Health Department
St. Petersburg, FL 33701-3109

Phone

(727) 824-6900

NPI assigned

Dec 26, 2013

Sex

Female

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

Other names 1

• Dr. Jacqueline Gollman Blutcher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1215358981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 290919",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336870919",
            "telephone_number": "813-988-7844",
            "fax_number": "813-984-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARTIN LUTHER KING, JR. ST. NO.",
            "address_2": "PINELLAS COUNTY HEALTH DEPARTMENT",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337013109",
            "telephone_number": "727-824-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLMAN",
        "first_name": "JACQUELINE",
        "middle_name": "BLUTCHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 0037797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06973100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BLUTCHER",
            "middle_name": "GOLLMAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Goldstein, MS, CGC
• Golfview Nursing Center LLC (Golfview Nursing Center)
• Heather M Golka, ARNP
• Lauren Golladay, ARNP
• Katlyn Gollin, MA CCC-SLP
• Lindsey Golonka, MA
• Paula Rose Golson, MS, CCC-A
• Stacey L Gomes, APRN
• Rene Daniel Gomez Esquivel, M.D.
• Laura Fabiola Gomez Guzman, MPH, MD

• General Practice Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.