Mary J Gombash, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

35047714 Issued in OH

Practice address

4571 Westbourne Rd
Toledo, OH 43623-2015

Phone

(419) 841-1660

Fax

(419) 841-4103

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Medicine Group

  • Specialist
  • Sylvania, OH
  • NPI 1225086085
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1528021201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 WESTBOURNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232015",
            "telephone_number": "419-841-1660",
            "fax_number": "419-841-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4571 WESTBOURNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232015",
            "telephone_number": "419-841-1660",
            "fax_number": "419-841-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBASH",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35047714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0688707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shevon Shataye Golladay
• Valarie Golladay
• Lacey Goller
• Raven Golliday
• Jessica Elrod Gombash, D.O.
• Ryan Gombash
• Tyler Gombash, D.O.
• Stephen Charles Gonce, LISW-S
• Venkata Prasanthi Gonthina
• Gonway Home Care Services

• Addiction Medicine (Psychiatry & Neurology) Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.