Active NPI
Michael N Gold, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Nashua, NH
National Provider Identifier
1275526147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 6923
- Practice address
- 154 Broad St
Suite 1538
Nashua, NH 03063-3239 - Phone
- (603) 889-4431
- Fax
- (603) 889-1572
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 6923 | NH | Primary |
Addresses
Primary practice location
154 Broad St
Suite 1538
Nashua, NH 03063-3239
Mailing address
2 Wright Rd
Hollis, NH 03049-6154
Phone (603) 465-3208
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6383 | Other | NH | CIGNA/HEALTHSOURCE |
| 00000598 | Medicaid | NH | |
| 220013063 | Other | NH | RAILROAD MEDICARE |
| 0107569Y0NH01 | Other | NH | BC/BS |
| 006923 | Other | NH | TUFTS |
| 782996 | Other | NH | MVP INS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6923 | NH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1275526147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WRIGHT RD",
"city": "HOLLIS",
"state": "NH",
"postal_code": "030496154",
"telephone_number": "603-465-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BROAD ST",
"address_2": "SUITE 1538",
"city": "NASHUA",
"state": "NH",
"postal_code": "030633239",
"telephone_number": "603-889-4431",
"fax_number": "603-889-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "MICHAEL",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NH",
"license": "6923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/HEALTHSOURCE",
"identifier": "6383",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000598",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220013063",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0107569Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "006923",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP INS",
"identifier": "782996",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.