Steven Gollish MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

SG045866 Issued in MI

Legal business name

STEVEN GOLLISH MD PC

Practice address

1201 South Dr
Suite 352
Mt Pleasant, MI 48858-3256

Phone

(989) 773-7711

Fax

(989) 772-0041

NPI assigned

Aug 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Gollish, MDNPI 1710074125

Title

President

Phone

(989) 773-7711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Harold Gollish, M.D.

  • Surgery Physician
  • Key West, FL
  • NPI 1710074125
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366459406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOUTH DR",
            "address_2": "SUITE 352",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583256",
            "telephone_number": "989-773-7711",
            "fax_number": "989-772-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOUTH DR",
            "address_2": "SUITE 352",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583256",
            "telephone_number": "989-773-7711",
            "fax_number": "989-772-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN GOLLISH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLLISH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-773-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "SG045866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524935",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Victoria Stein
• Jeremy Stembridge, PSY. SPEC.
• Megan Nicole Stendahl
• Stephen G. Chase, M.D., P.C.
• Mariah Sterley
• Alexis Stevens, FNP-C
• Julie M Stevens, D.O.
• Lakota Rose Stevenson
• Jeffrey M Stewart, LMFT
• Michael Gordon Stewart, PHD, CCC-A

• Surgery Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.