Active NPI
Minda Jane Gold, MD
- Family Medicine Physician
- Damariscotta, ME
National Provider Identifier
1346213451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 013738
- Practice address
- 68 Chapman St
Damariscotta, ME 04543-4614 - Phone
- (207) 563-6623
- Fax
- (207) 563-6625
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 013738 | ME | Primary |
Addresses
Primary practice location
68 Chapman St
Damariscotta, ME 04543-4614
Mailing address
68 Chapman St
Damariscotta, ME 04543-4614
Phone (207) 563-6623
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F79175 | Other | HARVARD PILGRIM | |
| 046766 | Other | ME | ANTHEM |
| 304150099 | Medicaid | ME | |
| 3157724 | Other | CIGNA | |
| 3359008 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013738 | ME | MD | Family Medicine Physician |
Interoperability endpoints
- minda.gold@42416827990020.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1346213451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CHAPMAN ST",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434614",
"telephone_number": "207-563-6623",
"fax_number": "207-563-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CHAPMAN ST",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434614",
"telephone_number": "207-563-6623",
"fax_number": "207-563-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "MINDA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "013738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "F79175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "046766",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304150099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3157724",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3359008",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.