Individual provider Active NPI

Erin Leigh Goist, M.D.

  • Pediatrics Physician
  • Pickerington, OH
National Provider Identifier
1821312463
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35099679 Issued in OH
Practice address
905 Old Diley Rd
Pickerington, OH 43147-2113
Phone
(614) 837-7337
Fax
(614) 837-7335
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35099679 OH Primary

Addresses

Primary practice location

905 Old Diley Rd
Pickerington, OH 43147-2113

Mailing address

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
Phone (614) 837-7337

Other identifiers 1

IdentifierTypeStateIssuer
0085657MedicaidOH

Other names 1

  • Erin Leigh Bratolli Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35099679OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Assoicates, Inc. Pediatrics CurrentSince Feb 9, 2025 Accepting new patients
Oh Independent Medical Group LLC PastSince Feb 9, 2025 Accepting new patients

Locations

7750 Diley Rd
Ste A
Canal Winchester, OH 43110
Phone (614) 837-7337

905 Old Diley Rd
Pickerington, OH 43147
Phone (614) 837-7337

905 Old Diley Rd
Ste A
Pickerington, OH 43147

Interoperability endpoints

  • Direct secure messaging: erin.goist.2@26020.direct.athenahealth.com
  • Direct secure messaging: erin.goist@pai.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1821312463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-837-7337",
            "fax_number": "614-837-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OLD DILEY RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431472113",
            "telephone_number": "614-837-7337",
            "fax_number": "614-837-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOIST",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35099679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BRATOLLI",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.