| Dr Michelle Clarice Golla, MD | |
|
8050 E Main St Ste 3200, Reynoldsburg, OH 43068-2819 | |
| (614) 434-5437 | |
| (614) 434-5438 |
| Full Name | Dr Michelle Clarice Golla |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 8050 E Main St Ste 3200, Reynoldsburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043535586 | NPI | - | NPPES |
| 0087407 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35.099603 (Ohio) | Primary |
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Clarice Golla, MD 8050 E Main St Ste 3200, Reynoldsburg, OH 43068-2819 Ph: (614) 434-5437 | Dr Michelle Clarice Golla, MD 8050 E Main St Ste 3200, Reynoldsburg, OH 43068-2819 Ph: (614) 434-5437 |
Dr. Vijay S Kumbar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8050 E Main St Ste 3100, Reynoldsburg, OH 43068 Phone: 614-866-8077 Fax: 614-866-9752 | |
Rebecca M Slaunwhite, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8050 E Main St Ste 3100, Reynoldsburg, OH 43068 Phone: 614-866-8077 Fax: 614-866-9752 | |
Laura D Phillips-chou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8050 E Main St Ste 3200, Reynoldsburg, OH 43068 Phone: 614-434-5437 Fax: 614-454-5438 | |
Andrew M Keller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8050 E Main St Ste 3100, Reynoldsburg, OH 43068 Phone: 614-866-8077 Fax: 614-866-9752 | |
Cynthia J Black, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8050 E Main St Ste 3100, Reynoldsburg, OH 43068 Phone: 614-866-8077 Fax: 614-866-9752 | |
Jason W Mailloux, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8050 E Main St Ste 3100, Reynoldsburg, OH 43068 Phone: 614-866-8077 Fax: 614-866-9752 |