Steven G Gollehon, MD DDS FACS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6514 Issued in NC

Practice address

301 East Wendover Ave
Suite 111
Greensboro, NC 27401

Phone

(336) 273-1000

Fax

(336) 275-5519

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

University of North Carolina School of Dentistry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenan Bradshaw DDS MD PAGroup PAC ID 3779007711, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shenan Bradshaw DDS MD PA

  dba Piedmont Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Greensboro, NC
  • NPI 1114710472
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952375784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST WENDOVER AVE SUITE 111",
            "address_2": "PIEDMONT ORAL MAXILLOFACIAL FAC CTR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-273-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST WENDOVER AVE",
            "address_2": "SUITE 111",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-273-1000",
            "fax_number": "336-275-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLEHON",
        "first_name": "STEVEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD DDS FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "6514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902GJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZN6514",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "128EJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie A Goldsborough, MD
• Katie Goldsmith, NCC, LCMHC
• Kimberly Goldstein, M.ED.
• Melissa Goldstein
• Angle M Goldston, MS, QP, CPSS, LCAS-A
• Jamie Cambareri Golob, DNP, CRNA
• Adriana Gomes, DO
• Casandra Jocelyn Gomez Alvarado
• Maria Gomez Caraballo, MD
• Melanie Gomez-Leal

• Oral and Maxillofacial Surgery (Dentist) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.