AMY GOLOB (NPI# 1114358421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114358421 |
| Entity Type | Individual |
| Full Name | AMY GOLOB |
| Credential | CRNP |
| Practice Address |
1575 Bannister St Suite 7 York PA 17404-4946 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178516000 |
| Practice Fax Number | 7178513521 |
| Mailing Telephone | 7178516000 |
| Mailing Fax Number | 7178513521 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP013492 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1575 BANNISTER ST SUITE 7 |
| City | YORK |
| State | PA |
| Zip Code | 17404-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033665 | Thomas L Bauer | Surgery | 1575 Bannister St, Suite 7, York, PA 17404-4946 | 2005-06-14 |
| 1932718699 | Terri Louise Tamecki | Physical Therapist | 1575 Bannister St, York, PA 17404-4946 | 2020-07-29 |
| 1235504887 | Doris Baskette | Nurse Practitioner | 1575 Bannister St, Suite 7, York, PA 17404-4946 | 2015-12-08 |
| 1104291806 | Sarah Woodrow | Nurse Practitioner | 1575 Bannister St, Suite 7, York, PA 17404-4946 | 2015-12-07 |
| 1922440577 | Kirsten M Forsythe | Nurse Practitioner | 1575 Bannister St, Suite 1, York, PA 17404-4946 | 2013-07-24 |
| 1629351176 | Karen C Held | Nurse Practitioner | 1575 Bannister St, Suite 1, York, PA 17404-4946 | 2011-09-21 |
| 1184913758 | Peggy Ann Bixler | Nurse Practitioner | 1575 Bannister St, Suite 7, York, PA 17404-4946 | 2011-04-04 |
| 1932331873 | Giselle Joseph | Family Medicine | 1575 Bannister St, Ste 1, York, PA 17404-4946 | 2009-08-11 |
| 1053517904 | Omar Sajjad Minhas | Family Medicine | 1575 Bannister St, Suite 1, York, PA 17404-4946 | 2007-06-26 |
| 1649333808 | Tanya L. Minich | Nurse Practitioner | 1575 Bannister St, Suite 7, York, PA 17404-4946 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457729584 | Aspire Prosthetics & Orthotics Inc. | Prosthetic/Orthotic Supplier | 506 Greenbriar Rd., York, PA 17404 | 2015-09-06 |
| 1043619752 | Roberta Reib Munsell | Counselor | 651 Albright Avenue, York, PA 17404 | 2014-08-19 |
| 1104113752 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1207 Carlisle Rd, Ste. 880, York, PA 17404 | 2011-07-05 |
| 1184917254 | Morris E Ogun | Pharmacist | 40-42 West Market Street, York, PA 17404 | 2011-05-24 |
| 1295030245 | Counseling & Rehabilitation Services of York | Psychologist | 437 West Market St., York, PA 17404 | 2011-01-24 |
| 1609008556 | Venkateswar R Kapa | Dentist | 351 Loucks Rd, York, PA 17404 | 2009-08-11 |
| 1114176294 | Concentra Health Services, Inc. | Clinic/Center | 2141 Pennsylvania Avenue, York, PA 17404 | 2008-09-15 |
| 1548473176 | Patricia Neel Harberger | Registered Nurse | 2159 White Street, Partners In Family Health, York, PA 17404 | 2007-05-08 |
| 1679799936 | Updegrove & Updegrove | Dentist | 439 N West St, York, PA 17404 | 2007-04-17 |
| 1427171271 | Bell Club, Inc. | Community/Behavioral Health | 3955 West Market Street, York, PA 17404 | 2007-04-09 |
| Find all providers in zip 17404 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918979 | Marc Allegro | Nurse Practitioner | 1001 S George St Fl 4, York, PA 17403-3676 | 2017-12-28 |
| 1154787729 | Cheryl Meyer | Nurse Practitioner | 2350 Freedom Way, York, PA 17402-8200 | 2016-01-12 |
| 1558733469 | Deborah Yommer | Nurse Practitioner | 2350 Freedom Way, Suite 202, York, PA 17402-8200 | 2015-10-30 |
| 1194197731 | Heather Diffendall | Nurse Practitioner | 1001 S George St Fl 2, York, PA 17403 | 2015-10-22 |
| 1962831008 | Amanda Marie Roberts | Nurse Practitioner | 1001 S George St, 3rd Floor, York, PA 17403-3676 | 2013-11-08 |
| 1548698715 | Nicole Regina Durham | Nurse Practitioner | 116 S George St, York, PA 17401-1474 | 2013-10-24 |
| 1073629085 | Ann Marie Sommer | Nurse Practitioner | 130 Pine Grove Cmns, York, PA 17403-5151 | 2006-08-22 |
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|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.