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NPI Code Detail

MEDICARE: SCOTT A. GOLDE P.A.-C

MEDICARE: SCOTT A. GOLDE P.A.-C
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
1363A00000XPhysician Assistant50-00-1016OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467457275
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A. GOLDE P.A.-C
Provider Business Mailing Address
First Line : 7335 YANKEE RD STE 201
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45044-1253
Country : US
Telephone Number : 513-564-6818
Fax Number : 513-564-6819
Provider Business Practice Location Address
First Line : 7335 YANKEE RD STE 201
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45044-1253
Country : US
Telephone Number : 513-564-6818
Fax Number : 513-564-6819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 01/02/2025

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Directions to “ SCOTT A. GOLDE P.A.-C” Practice Location

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