John Issac Goli

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

010C-2007302783 Issued in NV

Practice address

2642 Horizon Ridge Pkwy
#A5
Henderson, NV 89052-6480

Phone

(702) 553-3273

Fax

(702) 795-7463

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1447443320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 HORIZON RIDGE PKWY",
            "address_2": "#A5",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526480",
            "telephone_number": "702-553-3273",
            "fax_number": "702-795-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 HORIZON RIDGE PKWY",
            "address_2": "#A5",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526480",
            "telephone_number": "702-553-3273",
            "fax_number": "702-795-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLI",
        "first_name": "JOHN",
        "middle_name": "ISSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NV",
            "license": "010C-2007302783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani N Golden, MD
• Bari Lynn Goldsmith
• Ivan Lee Goldsmith, MD
• Monica A Goldsmith
• Paulette Goldstein, MS., CCC-SLP
• Frederick Goll III, M.D.
• Russell Patrick Gollard, M.D.
• Felicia Golly
• Samantha Golod, DDS
• Sepehr Golpayegany

• Prosthetic/Orthotic Supplier in Henderson, NV
• Providers in Henderson, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.