GREG A GOLLY (NPI# 1184609661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184609661 |
| Entity Type | Individual |
| Full Name | GREG A GOLLY |
| Credential | CRNA |
| Practice Address |
4041 W Wheatland Rd 156 343 Dallas TX 75237-4064 |
| Practice Telephone | 9722237878 |
| Practice Fax Number | 9722830284 |
| Mailing Telephone | 9722237878 |
| Mailing Fax Number | 9722830284 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2016-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 501795 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 109937607 | 05 | |
| TX | 109937608 | 05 | |
| TX | BCBS | 8855UA | 01 |
| TX | 109937604 | 05 | |
| TX | 109937609 | 05 |
| Street Address |
4041 W WHEATLAND RD 156 343 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819921 | Medfund LLC | Clinic/Center | 4041 W Wheatland Rd, Ste 178, Dallas, TX 75237-4061 | 2005-05-24 |
| 1306333489 | Gatesco Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 4041 W Wheatland Rd, Ste.168, Dallas, TX 75237-4069 | 2018-04-15 |
| 1104332881 | Arami Gates | Durable Medical Equipment & Medical Supplies | 4041 W Wheatland Rd, Dallas, TX 75237-4063 | 2017-12-18 |
| 1639619455 | Paul Hung Dds Pllc | Dentist | 4041 W Wheatland Rd, Suite 202, Dallas, TX 75237-4063 | 2017-02-27 |
| 1639617202 | Paul Hung Dds, Pllc | Dentist | 4041 W Wheatland Rd, Ste 202, Dallas, TX 75237-4063 | 2017-02-03 |
| 1851834006 | North Texas Heritage Dental Pllc | Dentist | 4041 W Wheatland Rd, #202, Dallas, TX 75237-4063 | 2016-11-21 |
| 1396101010 | Village Dds Pllc | Dentist | 4041 W Wheatland Rd, Suite 202, Dallas, TX 75237-4063 | 2016-01-11 |
| 1932469632 | Village Family Dental | Dentist | 4041 W Wheatland Rd, 202, Dallas, TX 75237-4063 | 2012-05-29 |
| 1427370790 | Family Healthwatch, P.C. | Clinic/Center | 4041 W Wheatland Rd, St 116, Dallas, TX 75237-4063 | 2010-02-26 |
| 1649592163 | Ernest R Wiley Jr. | Non-emergency Medical Transport (VAN) | 4041 W Wheatland Rd, Suite 156-356, Dallas, TX 75237-4063 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063056703 | Devco Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 7147 Royal Ln, Dallas, TX 75230-3607 | 2019-11-06 |
| 1861044224 | Texas Joint Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd Ste 245d, Dallas, TX 75225-4203 | 2019-07-15 |
| 1851890636 | Old Town Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 | 2018-02-07 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1689104796 | Jaade Anesthesia Management LLC. | Nurse Anesthetist, Certified Registered | 17980 Dallas Pkwy Ste 100, Dallas, TX 75287-6817 | 2017-06-13 |
| 1144755224 | Rpr Et Associates LLC | Nurse Anesthetist, Certified Registered | 11201 Leachman Cir, Dallas, TX 75229-4349 | 2017-04-26 |
| 1316393218 | Miranda Limmer | Nurse Anesthetist, Certified Registered | 1623 Main St, Apt. 702, Dallas, TX 75201-4740 | 2016-05-10 |
| 1942661988 | Hanan Genet Johnson | Nurse Anesthetist, Certified Registered | 5200 Harry Hinesblvd, Dallas, TX 75235 | 2016-03-18 |
| 1891166039 | Td Anesthesia Services | Nurse Anesthetist, Certified Registered | 3728 Shady Hill Dr, Dallas, TX 75229-2711 | 2015-10-14 |
| Find all providers in DALLAS | ||||
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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.