Ross Golla in St Louis Park - Physician Assistant
Ross Golla - NPI 1093737470
Ross Golla is a Physician Assistant in St Louis Park, Minnesota. Ross Golla practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ross Golla is 1093737470. The last update date is 2023-05-31.
Ross Golla's current location address is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9528831000. The mailing address for Ross Golla is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ross Golla |
|---|---|
| Address | 3850 Park Nicollet Blvd, St Louis Park, Minnesota |
| Phone Number | 9528831000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1093737470 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2023-05-31 |
Provider Mailing Address Detail
| Address | 3850 Park Nicollet Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554162527 |
| Phone Number | 9528831000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9904 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 726130600 | MN | -- |
Post Comment/ Review Below
What is the Ross Golla's unique identification number?
The Ross Golla has been assigned the NPI (National Provider Identifier) Number 1093737470 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Ross Golla?
The Ross Golla is situated at 3850 Park Nicollet Blvd, in the city of St Louis Park, state of MN, with the zip code 554162527.
What is Ross Golla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ross Golla's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Ross Golla receive its 1093737470 assignment from the Centers for Medicare & Medicaid Services?
The Ross Golla was assigned its 1093737470 by the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the details pertaining to Ross Golla last refreshed?
The information related to the Ross Golla, including its address, specialty, and other relevant details, was last updated on 2023-05-31.