Active NPI
Christine Inice Gould, M.D.
- Internal Medicine Physician
- Trumbull, CT
National Provider Identifier
1366455990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 033396
- Practice address
- 17 Church Hill Rd
Trumbull, CT 06611-3116 - Phone
- (203) 696-3550
- NPI assigned
- Aug 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 033396 | CT | |
| Internal Medicine Physician | 207R00000X | 033396 | CT | Primary |
Addresses
Primary practice location
17 Church Hill Rd
Trumbull, CT 06611-3116
Mailing address
2800 Main Street
Bridgeport, CT 06606
Phone (203) 576-5346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1333962 | Other | CT | CPID |
| 21690 | Other | CT | CONTROL SUBSTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033396 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Past | Accepting new patients | |
| Associates in Family Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Bridgeport, CT
- NPI 1033316187
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1366455990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MAIN STREET",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06606",
"telephone_number": "203-576-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CHURCH HILL RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113116",
"telephone_number": "203-696-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "CHRISTINE",
"middle_name": "INICE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "033396",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "033396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPID",
"identifier": "1333962",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROL SUBSTANCE",
"identifier": "21690",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.