Organization Active NPI

Gregory E. Gould DO PC

  • Internal Medicine Physician
  • Washington, MI
National Provider Identifier
1336348002
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101015338 Issued in MI
Legal business name
GREGORY E. GOULD DO PC
Practice address
60005 Campground Rd
Suite 600
Washington, MI 48094-3445
Phone
(586) 372-3500
Fax
(586) 372-3503
NPI assigned
Jul 13, 2007
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Dr. Gregory E Gould, DONPI 1962446468
Title
President/Owner
Phone
(248) 853-0800

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
Internal Medicine Physician 207R00000X 5101015338 MI Primary

Addresses

Primary practice location

60005 Campground Rd
Suite 600
Washington, MI 48094-3445

Mailing address

60005 Campground Rd
Suite 600
Washington, MI 48094-3445
Phone (586) 372-3500

Other names 1

  • Gregroy E. Gould D.O. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071004000256 MI Part B Supplier - Clinic/Group Practice 1557456639 Receives reassigned benefits from 7 practitioners
Practice locations: Washington, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0371352Gregory E Gould DO PC60005 Campground Road Suite 600, Washington, MI 48094Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

80600 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6500

60005 Campground Rd
Ste 600
Washington Township, MI 48094
Phone (586) 372-3500

Practitioners & affiliated clinicians

Practitioners 7

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1336348002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60005 CAMPGROUND RD",
            "address_2": "SUITE 600",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943445",
            "telephone_number": "586-372-3500",
            "fax_number": "586-372-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60005 CAMPGROUND RD",
            "address_2": "SUITE 600",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943445",
            "telephone_number": "586-372-3500",
            "fax_number": "586-372-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E. GOULD DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-853-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101015338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregroy E. Gould D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.