Active NPI
Andrew C Gold, P.A.
- Physician Assistant
- Cleveland, TX
National Provider Identifier
1285956854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06614
- Practice address
- 211 S College Ave
Cleveland, TX 77327-4503 - Phone
- (281) 592-8622
- Fax
- (281) 592-8699
- NPI assigned
- Feb 23, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06614 | TX | Primary |
Addresses
Primary practice location
211 S College Ave
Cleveland, TX 77327-4503
Mailing address
PO Box 5999
Kingwood, TX 77325-5999
Phone (281) 592-8622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76-0586988 | Other | TX | TAX ID |
| PA06614 | Other | TX | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06614 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Medic Network, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJAAAA
- https://fhir4.healow.com/fhir/r4/AJAAAA/Endpoint/AJAAAA
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.
-
- Internal Medicine Physician
- Cleveland, TX
- NPI 1255432829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285956854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5999",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773255999",
"telephone_number": "281-592-8622",
"fax_number": "281-592-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S COLLEGE AVE",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773274503",
"telephone_number": "281-592-8622",
"fax_number": "281-592-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "ANDREW",
"middle_name": "C",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "76-0586988",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA06614",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.