Organization Active NPI

Louis D. Gold, MD, PA

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1083976641
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME70557 Issued in FL
Legal business name
LOUIS D. GOLD, MD, PA
Practice address
9080 Kimberly Blvd
Suite 5
Boca Raton, FL 33434-2862
Phone
(561) 477-7150
Fax
(561) 477-7161
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Louis D. Gold, M.D.NPI 1730160292
Title
Presiden
Phone
(561) 477-7150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME70557 FL Primary

Addresses

Primary practice location

9080 Kimberly Blvd
Suite 5
Boca Raton, FL 33434-2862

Mailing address

9080 Kimberly Blvd
Suite 5
Boca Raton, FL 33434-2862
Phone (561) 477-7150

Other identifiers 2

IdentifierTypeStateIssuer
255195100MedicaidFL
B80515OtherFLUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120810000079 FL Part B Supplier - Clinic/Group Practice 0042466849 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Boynton Beach, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

2901 Clint Moore Rd
Ste 2246
Boca Raton, FL 33496

10301 Hagen Ranch Rd
Ste D710
Boynton Beach, FL 33437
Phone (561) 477-7150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1083976641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 KIMBERLY BLVD",
            "address_2": "SUITE 5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342862",
            "telephone_number": "561-477-7150",
            "fax_number": "561-477-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 KIMBERLY BLVD",
            "address_2": "SUITE 5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342862",
            "telephone_number": "561-477-7150",
            "fax_number": "561-477-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS D. GOLD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "561-477-7150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME70557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255195100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B80515",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.