Montie R Gould, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301038262 Issued in MI

Practice address

842 E Columbia Ave
Suite 2
Battle Creek, MI 49015-4449

Phone

(269) 969-6003

Fax

(269) 969-6051

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Ascension Medical Group Promed

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869

  Internal Medicine

  Medicare reassignment NPD
• Ascension Medical Group Promed

  • Counselor
  • Portage, MI
  • NPI 1063542165
  NPD
• Promed Healthcare

  • Rural Health Clinic/Center
  • Plainwell, MI
  • NPI 1487708830
  NPD
• The Doctors Group P C

  • Clinical Medical Laboratory
  • Battle Creek, MI
  • NPI 1760548994
  NPD (past)
• The Doctors Group, P.C.

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1043484322
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1184666331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 E COLUMBIA AVE",
            "address_2": "SUITE 2",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154449",
            "telephone_number": "269-969-6003",
            "fax_number": "269-969-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 E COLUMBIA AVE",
            "address_2": "SUITE 2",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154449",
            "telephone_number": "269-969-6003",
            "fax_number": "269-969-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "MONTIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301038262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4227943",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "1C CJ8339",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Corrine Gothberg, BIRTH DOULA
• Timothy Gottwald
• Hana Goubeaux, PT, DPT
• Timothy Goulart, D.C., C.V.C.P.
• John Gould
• Jackalyn M Govier, DO
• Grace Health Inc
• Grace Health, Inc.
• Grace Health, Inc.
• Grace Health, Inc.

• Internal Medicine Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.