Stephen M Gollomp MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD024887E Issued in PA

Legal business name

STEPHEN M GOLLOMP MD PC

Practice address

Suite 161, Lankenau Medical BLDG East
100 East Lancaster Avenue
Wynnewood, PA 19096-3425

Phone

(610) 642-5371

Fax

(610) 642-5658

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Michael Gollomp, MDNPI 1194723585

Title

President

Phone

(610) 642-5371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Michael Gollomp, MD

  • Neurology Physician
  • Wynnewood, PA
  • NPI 1194723585
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519516800000",
    "number": "1841350758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 161, LANKENAU MEDICAL BLDG EAST",
            "address_2": "100 EAST LANCASTER AVENUE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963425",
            "telephone_number": "610-642-5371",
            "fax_number": "610-642-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 161, LANKENAU MEDICAL BLDG EAST",
            "address_2": "100 EAST LANCASTER AVENUE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963425",
            "telephone_number": "610-642-5371",
            "fax_number": "610-642-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M GOLLOMP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-02-25",
        "status": "A",
        "authorized_official_last_name": "GOLLOMP",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-642-5371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD024887E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate M. Stampler, DO
• Alexander Henryk Stawski
• Donna M Steel, CRNP
• Mary A Stefanyszyn, MD
• Norman Scott Stehle, M.D.
• Stepping Stones Occupational Therapy, LLC
• Rebecca S Stern, CRNP, MSN
• Rachel Sternberg
• Mitchell Sternlieb, M.D.
• Xiaomang Ba Stickles, MD

• Neurology Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.

Verify at the official NPI Registry.