Active NPI
Golda Liza Sobol, PA-C
- Physician Assistant
- Lowell, MA
National Provider Identifier
1497903918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AP2577
- Practice address
- 275 Varnum Ave
Suite 201
Lowell, MA 01854 - Phone
- (978) 452-9700
- Fax
- (978) 441-6075
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AP2577 | MA | Primary |
Addresses
Primary practice location
275 Varnum Ave
Suite 201
Lowell, MA 01854
Mailing address
275 Varnum Ave
Suite 201
Lowell, MA 01854
Phone (978) 452-9700
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 |
|---|---|---|---|
| AP2577 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Diagnostic Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1497903918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VARNUM AVE",
"address_2": "SUITE 201",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-452-9700",
"fax_number": "978-441-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VARNUM AVE",
"address_2": "SUITE 201",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-452-9700",
"fax_number": "978-441-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOL",
"first_name": "GOLDA",
"middle_name": "LIZA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "AP2577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.