Active NPI
Gordon Andrew Bald
- Registered Nurse
- Cincinnati, OH
National Provider Identifier
1437826633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN388339
- Practice address
- 42 E Crescentville Rd
Cincinnati, OH 45246-1302 - Phone
- (701) 858-1801
- Fax
- (513) 671-7110
- NPI assigned
- Aug 25, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN388339 | OH | Primary |
Addresses
Primary practice location
42 E Crescentville Rd
Cincinnati, OH 45246-1302
Mailing address
65 Bobtail Way
Monroe, OH 45050-2439
Phone (513) 292-1647
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN388339 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1437826633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BOBTAIL WAY",
"city": "MONROE",
"state": "OH",
"postal_code": "450502439",
"telephone_number": "513-292-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E CRESCENTVILLE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452461302",
"telephone_number": "701-858-1801",
"fax_number": "513-671-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALD",
"first_name": "GORDON",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2021-09-13",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN388339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.