Jim J. Gould, MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

49470565-8905 Issued in UT

Legal business name

JIM J. GOULD, MD PC

Doing business as

Mountain West Pediatrics and Bedtime Kids Care

Practice address

2356 N 400 E
Suite 202
Tooele, UT 84074-3409

Phone

(435) 843-8380

Fax

(435) 843-8382

NPI assigned

Nov 23, 2011

Last updated

Nov 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jim J Gould, M.D.NPI 1649200296

Title

Owner

Phone

(435) 843-8380

Specialties & licenses 1

Addresses

Other names 1

• Mountain West Pediatrics and Bedtime Kids Care Doing business as

Locations

Practitioners 1

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.

• Jim J Gould, M.D.

  • Pediatrics Physician
  • Tooele, UT
  • NPI 1649200296
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1366719015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "SUITE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "435-843-8380",
            "fax_number": "435-843-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "SUITE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "435-843-8380",
            "fax_number": "435-843-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM J. GOULD, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-843-8380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "49470565-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain West Pediatrics and Bedtime Kids Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jed C Winder OD, PC (Tooele Vision Center)
• Candice Jemison
• Jeramy Rawn Jenkins, AU.D., CCC-A
• Suzanne Renee Jenkins, RRT
• Jesse David Jensen, D.O.
• Charleston Joe
• John L Bishop DMD PC (Bishop Dental)
• Aubra Johnson
• Beau William Johnson
• Dani Johnson

• Clinic/Center in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.