Active NPI
Edward L Golash, PA
- Medical Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001812
- Practice address
- 739 Irving Ave
Suite 500
Syracuse, NY 13210-1651 - Phone
- (315) 470-7409
- Fax
- (315) 475-2357
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001812 | NY | Primary |
Addresses
Primary practice location
739 Irving Ave
Suite 500
Syracuse, NY 13210-1651
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 470-7409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01272646 | Medicaid | NY |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1812 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Medical Cardiovascular Group PC | Current | Accepting new patients | |
| Crouse Medical Practice, PLLC | Medical | Past | Accepting new patients |
Locations
6221 State Route 31
Ste 104
Cicero, NY 13039
Phone (315) 698-4888
5100 W Taft Rd
#5J
Liverpool, NY 13088
Phone (315) 452-2014
5100 W Taft Rd
Ste 2J
Liverpool, NY 13088
Phone (315) 452-2220
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Fayetteville, NY
- NPI 1184676355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1447258447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-470-7409",
"fax_number": "315-475-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 IRVING AVE",
"address_2": "SUITE 500",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101651",
"telephone_number": "315-470-7409",
"fax_number": "315-475-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLASH",
"first_name": "EDWARD",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "001812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01272646",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.