Mitchell J Gold, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34471 Issued in AZ

Practice address

20713 E Ocotillo Rd Ste 100
Queen Creek, AZ 85142-6117

Phone

(480) 882-9993

Fax

(480) 248-2377

NPI assigned

Feb 9, 2006

Last updated

May 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Ridge Urgent Care Centers

  dba Kyrene Urgent Care

  • General Practice Physician
  • Chandler, AZ
  • NPI 1972806834
  NPD (past)
• Phoenix Neurological Institute, Inc

  dba Phoenician Behavioral Health

  • Neurology Physician
  • Chandler, AZ
  • NPI 1336319086
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1447223565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20713 E OCOTILLO RD STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426117",
            "telephone_number": "480-882-9993",
            "fax_number": "480-248-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20713 E OCOTILLO RD STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426117",
            "telephone_number": "480-882-9993",
            "fax_number": "480-248-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-05-18",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Lynn Giarrizzo, P.A.
• Jared Giatras, DMD
• Catherine Gibbons, D.D.S.
• Madisyn Gilbert Conn
• Nadia Chenell Gill, B.A. BHT, NAC
• Golden Horizon Care LLC
• Golden Living Homes LLC
• Emilia Elizabeth Gomez Vieytez, MD
• Jayson P Gomez, PHARMD
• Michael Gomez

• Family Medicine Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.