MEDICARE: RONALD GOLOVAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35-060871-G	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F60871	OTHER	OH	SUMMACARE
2	341939294-00	OTHER	OH	WORKERS COMP
3	000000187185	OTHER	OH	ANTHEM BC/BS
4	0402830	OTHER	OH	UNITED HEALTHCARE
5	341939294027	OTHER	OH	CARESOURCE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	54563	OTHER	OH	QUALCHOICE

General Provider Information

NPI Number	:	1003815473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD GOLOVAN M.D.

Provider Business Mailing Address
First Line	:	1730 W 25TH ST STE 2E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3108
Country	:	US
Telephone Number	:	216-696-2205
Fax Number	:	216-363-2058

Provider Business Practice Location Address
First Line	:	1730 W 25TH ST STE 2E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3108
Country	:	US
Telephone Number	:	216-696-2205
Fax Number	:	216-363-2058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	11/20/2024

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Directions to “ RONALD GOLOVAN M.D.” Practice Location

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