DR. HEIDRUN GOLLOGLY (NPI# 1477879823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477879823 |
| Entity Type | Individual |
| Full Name | DR. HEIDRUN GOLLOGLY |
| Credential | M.D. |
| Practice Address |
5565 Grossmont Center Dr Ste 3 La Mesa CA 91942 |
| Mailing Address |
100 E California Blvd Pasedena CA 91105 |
| Practice Telephone | 6194630331 |
| Practice Fax Number | 6194630138 |
| Mailing Telephone | 6262695317 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 134761 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 54428 | MN | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 105611 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ENROLLED | 05 | |
| MN | ENROLLED | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 655 Euclid Ave Ste 302, National City, CA 919502973 | 6194721010 | |
| 5565 Grossmont Center Dr Ste 551, La Mesa, CA 919423078 | 6194652020 |
| Street Address |
5565 GROSSMONT CENTER DR STE 3 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851578819 | Jerry M Fabrikant Dpm, Inc | Podiatrist | 5565 Grossmont Center Dr Ste 3, Ste 353, La Mesa, CA 91942-3007 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114292778 | Philip Joseph Gelber | Ophthalmology | 4731 Divine Way, La Mesa, CA 91941-6832 | 2012-03-15 |
| 1396715991 | David J Najafi | Ophthalmology | 8262 University Ave, La Mesa, CA 91942 | 2006-01-25 |
| 1366448243 | Paul L Treger Md A Medical Corporation | Ophthalmology | 7877 Parkway Dr, Ste 100, La Mesa, CA 91942-2000 | 2005-06-24 |
| 1619973591 | Alvarado Eye Associates Med Clinic Inc | Ophthalmology | 7877 Parkway Dr., Suite# 100, La Mesa, CA 91942-2000 | 2005-06-24 |
| 1114920600 | James Tidwell | Ophthalmology | 9480 El Tejado Rd, La Mesa, CA 91941-4462 | 2005-05-27 |
| 1871016808 | Retina Institute of California | Ophthalmology | 5565 Grossmont Center Dr # 2-3, La Mesa, CA 91942-3020 | 2017-07-21 |
| 1225304108 | Jeffrey P Wasserstrom Md A Medical Corporation | Ophthalmology | 5565 Grossmont Center Dr, Bldg 3 Suite 551, La Mesa, CA 91942-3020 | 2012-03-26 |
| 1912273970 | Lawrence S Rice, Md, A Medical Corporation | Ophthalmology | 5565 Grossmont Center Dr, Suite 551, La Mesa, CA 91942-3020 | 2012-03-23 |
| 1144492455 | Kuljinder S Grewal M D PC | Ophthalmology | 8881 Fletcher Pkwy, Suite 104, La Mesa, CA 91942-3134 | 2008-03-26 |
| 1447311899 | Paul Leslie Treger | Ophthalmology | 7877 Parkway Dr, Suite 100, La Mesa, CA 91942-2000 | 2006-12-12 |
| Find all providers in LA MESA | ||||
Please comment or provide details below to improve the information on DR. HEIDRUN GOLLOGLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.