Active NPI
Ben Gold, MD, PC
- Allergy Physician
- Ypsilanti, MI
National Provider Identifier
1013180900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 4301042344
- Legal business name
- BEN GOLD, MD, PC
- Practice address
- 4870 W Clark Rd
Suite 203
Ypsilanti, MI 48197-1104 - Phone
- (737) 434-6050
- Fax
- (734) 434-9721
- NPI assigned
- Apr 11, 2008
- Last updated
- Apr 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bernard Gold, M.D.
- Title
- President
- Phone
- (734) 434-6050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 4301042344 | MI | Primary |
Addresses
Primary practice location
4870 W Clark Rd
Suite 203
Ypsilanti, MI 48197-1104
Mailing address
4870 W Clark Rd
Suite 203
Ypsilanti, MI 48197-1104
Phone (737) 434-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2774487 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
420 W Russell St
Ste 202
Saline, MI 48176
Phone (734) 429-1515
4870 W Clark Rd
Ste 203
Ypsilanti, MI 48197
Phone (734) 434-6050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1013180900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 W CLARK RD",
"address_2": "SUITE 203",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971104",
"telephone_number": "737-434-6050",
"fax_number": "734-434-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 W CLARK RD",
"address_2": "SUITE 203",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971104",
"telephone_number": "737-434-6050",
"fax_number": "734-434-9721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEN GOLD, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-434-6050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "4301042344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2774487",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.