Active NPI
Stephen Paul Goloby, CFA
- Surgical Technologist
- Tulsa, OK
National Provider Identifier
1578601936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- CFA NO# IN OKLAHOMA
- Practice address
- 1809 E 13TH St
#400
Tulsa, OK 74104-4419 - Phone
- (918) 599-8200
- Fax
- (918) 583-3491
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | CFA NO# IN OKLAHOMA | OK | Primary |
Addresses
Primary practice location
1809 E 13TH St
#400
Tulsa, OK 74104-4419
Mailing address
1809 E 13TH St
#400
Tulsa, OK 74104-4419
Phone (918) 599-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92482 | Other | OK | NAT'L CERTIFICATION NUMBE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFA NO# IN OKLAHOMA | OK | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578601936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 E 13TH ST",
"address_2": "#400",
"city": "TULSA",
"state": "OK",
"postal_code": "741044419",
"telephone_number": "918-599-8200",
"fax_number": "918-583-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 E 13TH ST",
"address_2": "#400",
"city": "TULSA",
"state": "OK",
"postal_code": "741044419",
"telephone_number": "918-599-8200",
"fax_number": "918-583-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLOBY",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "CFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "OK",
"license": "CFA NO# IN OKLAHOMA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAT'L CERTIFICATION NUMBE",
"identifier": "92482",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.