MEDICARE: GAIL GOLDMAN

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1063399145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL GOLDMAN

Provider Business Mailing Address
First Line	:	4946 WHISPERING FALLS DR
Second Line	:
City	:	GROVEPORT
State	:	OH
Zip	:	43125-9671
Country	:	US
Telephone Number	:	614-740-4539
Fax Number	:

Provider Business Practice Location Address
First Line	:	4946 WHISPERING FALLS DR
Second Line	:
City	:	GROVEPORT
State	:	OH
Zip	:	43125-9671
Country	:	US
Telephone Number	:	614-740-4539
Fax Number	:

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

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “ GAIL GOLDMAN ” Practice Location

Language	Start Address	Practice Location

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