Active NPI
Robert A Gollier II, M.D.
- Occupational Medicine Physician
- Ottawa, KS
National Provider Identifier
1689634446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 04-13754
- Practice address
- 404 W 4TH St
Ottawa, KS 66067-2159 - Phone
- (785) 242-1262
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 04-13754 | KS | Primary |
Addresses
Primary practice location
404 W 4TH St
Ottawa, KS 66067-2159
Mailing address
404 W 4TH St
Ottawa, KS 66067-2159
Phone (785) 242-1262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020075501 | Medicaid | KS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-13754 | KS | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1689634446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W 4TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660672159",
"telephone_number": "785-242-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W 4TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660672159",
"telephone_number": "785-242-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLIER",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KS",
"license": "04-13754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020075501",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.