Active NPI
Todd Gould MD Inc
- Ophthalmology Physician
- Piqua, OH
National Provider Identifier
1336122373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35-07-0691G
- Legal business name
- TODD GOULD MD INC
- Practice address
- 821 Nicklin Ave
Piqua, OH 45356 - Phone
- (937) 778-1812
- Fax
- (937) 778-9114
- NPI assigned
- Nov 23, 2005
- Last updated
- Apr 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd J Gould, MD
- Title
- President
- Phone
- (937) 335-9020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35-07-0691G | NU | Primary |
Addresses
Primary practice location
821 Nicklin Ave
Piqua, OH 45356
Mailing address
821 Nicklin Ave
Piqua, OH 45356-1739
Phone (937) 778-1812
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012948 | Other | ANTHEM | |
| 180027332 | Other | RR MED | |
| 2014680 | Medicaid | OH | |
| 0800753 | Other | UNITED HEALTH CARE | |
| 491600699002 | Other | MEDICAL MUTUAL | |
| 150957CR | Other | PREFERRED CARE |
National Provider Directory
National Provider DirectoryLocations
821 Nicklin Ave
Piqua, OH 45356
Phone (937) 773-0012
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Green Bay, WI
- NPI 1265431126
-
- Ophthalmology Physician
- Piqua, OH
- NPI 1861761652
-
- Ophthalmology Physician
- Troy, OH
- NPI 1669475133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1336122373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 NICKLIN AVE",
"city": "PIQUA",
"state": "OH",
"postal_code": "453561739",
"telephone_number": "937-778-1812",
"fax_number": "937-778-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 NICKLIN AVE",
"city": "PIQUA",
"state": "OH",
"postal_code": "45356",
"telephone_number": "937-778-1812",
"fax_number": "937-778-9114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD GOULD MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "GOULD",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-335-9020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": "35-07-0691G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000012948",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED",
"identifier": "180027332",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014680",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0800753",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "491600699002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "150957CR",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Piqua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.