Gordon J Goolamier
Nurse Practitioner, Gerontology in Cleveland, OH. Individual provider (NPI-1).
NPI number1316619935
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1316619935
- Entity type
- Individual (NPI-1)
- Name
- Gordon J Goolamier
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2021
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 0029195 | OH | Yes |
Practice location
11100 Euclid AveCleveland, OH 44106-1716
Phone 216-844-1000 · Fax 216-201-6304
Mailing address
29368 N Village LnSolon, OH 44139-7101
Phone 216-374-9283 · Fax 216-201-6304
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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