NPIMap

Individual provider Active NPI

Gregory Golonka, MD

  • Pediatrics Physician
  • Strongsville, OH
National Provider Identifier
1366522500
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35070271G Issued in OH
Practice address
18181 Pearl Rd Ste A200
Strongsville, OH 44136-6953
Phone
(440) 816-4950
Fax
(440) 819-4960
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35070271G OH Primary

Addresses

Primary practice location

18181 Pearl Rd Ste A200
Strongsville, OH 44136-6953

Mailing address

24701 Euclid Ave
Euclid, OH 44117-1714
Phone (440) 816-4950

Other identifiers 1

IdentifierTypeStateIssuer
0282153MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregorygolonka@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35070271GOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Health Center Past Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ggolonka37582@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1366522500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-816-4950",
            "fax_number": "440-816-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD STE A200",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366953",
            "telephone_number": "440-816-4950",
            "fax_number": "440-819-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLONKA",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070271G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282153",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregorygolonka@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18181 Pearl Rd Ste A200",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441366953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.