Individual provider Active NPI

Robert S Gold, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Maitland, FL
National Provider Identifier
1093753824
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
50719 Issued in FL
Practice address
790 Concourse Pkwy S
Suite 200
Maitland, FL 32751
Phone
(407) 767-6411
Fax
(407) 767-8160
NPI assigned
Jun 3, 2006
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME50719 FL
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 50719 FL Primary

Addresses

Primary practice location

790 Concourse Pkwy S
Suite 200
Maitland, FL 32751

Mailing address

1033 Dr Martin Luther King Jr St N
Suite 108
St Petersburg, FL 33701-1547
Phone (727) 456-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000598 FL Practitioner - Ophthalmology 0749348241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

790 Concourse Pkwy S
Suite 200
Maitland, FL 32751-6114
Phone (407) 767-6411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50719FLMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Associates LLC CurrentSince Jul 1, 2008 Accepting new patients
Florida Pediatric Associates, LLC Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients

Locations

225 W State Road 434
Ste 111
Longwood, FL 32750
Phone (407) 767-6411

790 Concourse Pkwy S
Ste 200
Maitland, FL 32751
Phone (407) 767-6411

1781 Park Center Dr
Ste 220
Orlando, FL 32835
Phone (407) 398-7730

1033 Mlk Jr St N
Ste 108
St Petersburg, FL 33701
Phone (727) 456-4250

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

249 Moray Ln
Winter Park, FL 32792
Phone (407) 645-4350

Interoperability endpoints

  • Direct secure messaging: rgold@epcf.intellechartdirect.net
  • Direct secure messaging: rgold71489@epicdirect.hf.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1093753824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-4250",
            "fax_number": "727-346-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CONCOURSE PKWY S",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-767-6411",
            "fax_number": "407-767-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME50719",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "FL",
            "license": "50719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.