Individual provider Active NPI

Maria Ellen Golla, MSP

  • Speech-Language Pathologist
  • West Chester, OH
National Provider Identifier
1922308899
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2011151 Issued in OH
Practice address
7700 University CT
Suite 3900
West Chester, OH 45069-6542
Phone
(513) 475-8400
Fax
(513) 475-8271
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2011151 OH Primary

Addresses

Primary practice location

7700 University CT
Suite 3900
West Chester, OH 45069-6542

Mailing address

222 Piedmont Ave
Suite 5200
Cincinnati, OH 45219-4231
Phone (513) 475-8400

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

State licenses

LicenseStateTypeSpecialty
2011151OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Ear, Nose and Throat Specialists, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1922308899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "SUITE 5200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-8400",
            "fax_number": "513-475-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 UNIVERSITY CT",
            "address_2": "SUITE 3900",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696542",
            "telephone_number": "513-475-8400",
            "fax_number": "513-475-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLA",
        "first_name": "MARIA",
        "middle_name": "ELLEN",
        "credential": "MSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2011151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.