Active NPI
Gerald M. Goltz, M.D. & Associates, PC
- Endocrinology, Diabetes & Metabolism Physician
- Sewickley, PA
National Provider Identifier
1710206842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD015354E
- Legal business name
- GERALD M. GOLTZ, M.D. & ASSOCIATES, PC
- Practice address
- 701 Broad St
Suite C
Sewickley, PA 15143-1652 - Phone
- (412) 741-2552
- Fax
- (412) 741-9339
- NPI assigned
- May 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marla A Reiter-Goltz, M.S.
- Title
- Ceo
- Phone
- (412) 716-7793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD015354E | PA | Primary |
Addresses
Primary practice location
701 Broad St
Suite C
Sewickley, PA 15143-1652
Mailing address
701 Broad St
Suite C
Sewickley, PA 15143-1652
Phone (412) 741-2552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00753272 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
701 Broad St
Ste C
Sewickley, PA 15143
Phone (412) 741-2552
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sewickley, PA
- NPI 1720033244
-
- Family Nurse Practitioner
- Sewickley, PA
- NPI 1861860942
-
- Family Nurse Practitioner
- Sewickley, PA
- NPI 1134773195
-
- Endocrinology, Diabetes & Metabolism Physician
- Monroeville, PA
- NPI 1275796047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1710206842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 BROAD ST",
"address_2": "SUITE C",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431652",
"telephone_number": "412-741-2552",
"fax_number": "412-741-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 BROAD ST",
"address_2": "SUITE C",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431652",
"telephone_number": "412-741-2552",
"fax_number": "412-741-9339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD M. GOLTZ, M.D. & ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-28",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "REITER-GOLTZ",
"authorized_official_first_name": "MARLA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-716-7793",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD015354E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00753272",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.