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

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

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.

Title

Owner

Phone

(435) 843-8380

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mountain West Pediatrics and Bedtime Kids Care Doing business as

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533965715001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain West Pediatrics and Bedtime Kids Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jed C Winder OD, PC
• Candice Jemison
• Jeramy Rawn Jenkins, AU.D., CCC-A
• Suzanne Renee Jenkins, RRT
• Jesse David Jensen, D.O.
• John L Bishop DMD PC
• Aubra Johnson
• Beau William Johnson
• Dani Johnson
• Parker Hindley Johnson, DDS

• 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.