Active NPI
V. R Goli,PSC
- Urology Physician
- Hazard, KY
National Provider Identifier
1427373919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 19722
- Legal business name
- V. R GOLI,PSC
- Practice address
- 200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9466 - Phone
- (606) 439-3334
- NPI assigned
- Mar 29, 2010
- 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. Venkateswara R Goli, M.D.
- Title
- President
- Phone
- (606) 439-3334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19722 | KY | Primary |
Addresses
Primary practice location
200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9466
Mailing address
200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9466
Phone (606) 439-3334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64197221 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269820800000",
"number": "1427373919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 3P",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-439-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 3P",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-439-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "V. R GOLI,PSC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A",
"authorized_official_last_name": "GOLI",
"authorized_official_first_name": "VENKATESWARA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-439-3334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "KY",
"license": "19722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64197221",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.