Active NPI
Ann E Gollin, PA
- Physician Assistant
- Westminster, CO
National Provider Identifier
1619011319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 406
- Practice address
- 11245 Huron St
Westminster, CO 80234-2806 - Phone
- (303) 338-3800
- NPI assigned
- Feb 16, 2007
- 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 | 406 | CO | Primary |
Addresses
Primary practice location
11245 Huron St
Westminster, CO 80234-2806
Mailing address
11245 Huron St
Westminster, CO 80234-2806
Phone (303) 338-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75278766 | Medicaid | CO | |
| 006092 | Other | KAISER-COMMERCIAL NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1619011319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11245 HURON ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342806",
"telephone_number": "303-338-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11245 HURON ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342806",
"telephone_number": "303-338-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLIN",
"first_name": "ANN",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75278766",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "006092",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.