Organization Active NPI

Gold Medical Corp

  • Customized Equipment (DME)
  • Burtonsville, MD
National Provider Identifier
1396878260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
GOLD MEDICAL CORP
Practice address
4417 Meanderwood Dr
Burtonsville, MD 20866-2221
Phone
(240) 372-7895
Fax
(301) 549-2755
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Neil Wayne Goldschmitt
Title
Owner,President
Phone
(301) 549-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

4417 Meanderwood Dr
Burtonsville, MD 20866-2221

Mailing address

4417 Meanderwood Dr
Burtonsville, MD 20866-2221
Phone (301) 549-2755

Other identifiers 3

IdentifierTypeStateIssuer
9115846MedicaidVA
F868OtherDCCAREFIRST DC AND ALL FED
MH32OtherMDCAREFIRST MARYLAND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396878260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 MEANDERWOOD DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662221",
            "telephone_number": "301-549-2755",
            "fax_number": "301-549-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 MEANDERWOOD DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662221",
            "telephone_number": "240-372-7895",
            "fax_number": "301-549-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSCHMITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "301-549-1307"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9115846",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST  DC AND ALL FED",
            "identifier": "F868",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "MH32",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.