Organization Active NPI

Todd Gould MD Inc

  • Ophthalmology Physician
  • Piqua, OH
National Provider Identifier
1336122373
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-07-0691G Issued in NU
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Todd J Gould, MDNPI 1265431126
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000012948OtherANTHEM
180027332OtherRR MED
2014680MedicaidOH
0800753OtherUNITED HEALTH CARE
491600699002OtherMEDICAL MUTUAL
150957CROtherPREFERRED CARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.