Individual provider Active NPI

Samuel C Gold, M.D.

  • Ophthalmology Physician
  • Manchester, NH
National Provider Identifier
1447448055
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7982 Issued in NH
Practice address
835 Hanover St
Suite 304
Manchester, NH 03104-5401
Phone
(603) 641-5081
Fax
(603) 641-5348
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7982 NH Primary

Addresses

Primary practice location

835 Hanover St
Suite 304
Manchester, NH 03104-5401

Mailing address

835 Hanover St
Suite 304
Manchester, NH 03104-5401
Phone (603) 641-5081

Other identifiers 1

IdentifierTypeStateIssuer
30002630MedicaidNH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7982NHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Health Past Accepting new patients
Pinnacle Rehabilitation Network LLC Past Accepting new patients
NH Eye Associates PLLC Ophthalmology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1447448055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST",
            "address_2": "SUITE 304",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-641-5081",
            "fax_number": "603-641-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST",
            "address_2": "SUITE 304",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-641-5081",
            "fax_number": "603-641-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "7982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002630",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.