JOHN ISSAC GOLI (NPI# 1447443320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447443320 |
| Entity Type | Individual |
| Full Name | JOHN ISSAC GOLI |
| Practice Address |
2642 Horizon Ridge Pkwy #a5 Henderson NV 89052-6480 |
| Practice Telephone | 7025533273 |
| Practice Fax Number | 7027957463 |
| Mailing Telephone | 7025533273 |
| Mailing Fax Number | 7027957463 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 010C-2007302783 | NV | Suppliers |
| Street Address |
2642 HORIZON RIDGE PKWY #A5 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-6480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
| 1477018521 | Trent Duane Bullock | Prosthetic/Orthotic Supplier | 137 2nd St, Henderson, KY 42420-3135 | 2019-02-04 |
| 1821381328 | Park Medical Wear, Inc. | Prosthetic/Orthotic Supplier | 1697 Freedom Ct, Henderson, NV 89014-7526 | 2011-05-17 |
| 1871734947 | Range of Motion | Prosthetic/Orthotic Supplier | 1302 Dabney Drive, Henderson, NC 27536-3531 | 2009-03-18 |
| 1720286966 | Orthopedic Motion Inc | Prosthetic/Orthotic Supplier | 2930 W Horizon Ridge Pkwy, Henderson, NV 89052-5058 | 2007-07-10 |
| 1679780381 | Sequent Corporation | Prosthetic/Orthotic Supplier | 10520 S Eastern Ave, #100, Henderson, NV 89052-3900 | 2007-05-16 |
| 1821053869 | Bio-tech Prosthetics Orthotics | Prosthetic/Orthotic Supplier | 855-b South Beckford Dr, Henderson, NC 27536 | 2006-04-20 |
| 1235619776 | Physiotherapy Associates, Inc. | Prosthetic/Orthotic Supplier | 750 Coronado Center Dr Ste 120, Henderson, NV 89052-5035 | 2018-08-15 |
| 1427136845 | North Carolina Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 451 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2878 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684954 | Dmeonthegollc | Prosthetic/Orthotic Supplier | 4904 Camino Al Norte, N. Las Vegas, NV 89094 | 2019-02-06 |
| 1912362245 | Back In Step | Prosthetic/Orthotic Supplier | 2820 W Charleston Blvd Ste 32, Las Vegas, NV 89102-1934 | 2015-12-31 |
| 1497148886 | Dentistry 4 Sleep Apnea LLC | Prosthetic/Orthotic Supplier | 6960 Westcliff Dr Ste 200, Las Vegas, NV 89145-4201 | 2015-03-10 |
| 1891101051 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 961 Matley Ln, Ste 160, Reno, NV 89502-2188 | 2014-07-09 |
| 1841604469 | Prosthetic Consulting Technologies LLC | Prosthetic/Orthotic Supplier | 328 E Winnie Ln, Carson City, NV 89706-2256 | 2014-06-12 |
| 1457786543 | Nevada Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 2250 Postal Dr Ste 7, Pahrump, NV 89048-4798 | 2013-09-07 |
| 1093153264 | Beauty Venom Hair Loss Center | Prosthetic/Orthotic Supplier | 7785 N Durango Dr, Suite 125, Las Vegas, NV 89131-8000 | 2013-06-11 |
| 1487910261 | D Danz & Sons Inc | Prosthetic/Orthotic Supplier | 2500 E. 2nd St, Reno, NV 89595-0002 | 2012-04-06 |
| 1528324514 | Ability Prosthetics and Orthotics of Nevada, LLC | Prosthetic/Orthotic Supplier | 309 Kirman Ave, Ste A, Reno, NV 89502 | 2012-04-04 |
| 1366749657 | Lori Shannon Robertson | Prosthetic/Orthotic Supplier | 5000 Smithridge Dr, B2, Reno, NV 89502-5653 | 2011-02-22 |
| Find all providers with the same taxonomy | ||||
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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.