Active NPI
Samuel C Gold MD PA
- Ophthalmology Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 7982
- Legal business name
- SAMUEL C GOLD MD PA
- Practice address
- 835 Hanover St
Suite 304
Manchester, NH 03104 - Phone
- (603) 641-5081
- Fax
- (603) 641-5348
- NPI assigned
- May 1, 2006
- Last updated
- Mar 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Carl Gold, MD
- Title
- President Physician
- Phone
- (603) 641-5081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 7982 | NH | Primary |
Addresses
Primary practice location
835 Hanover St
Suite 304
Manchester, NH 03104
Mailing address
835 Hanover St
Suite 304
Manchester, NH 03104
Phone (603) 641-5081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30002630 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
835 Hanover St
Ste 304
Manchester, NH 03104
Phone (603) 641-5081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Manchester, NH
- NPI 1447448055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394409600000",
"number": "1457318578",
"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": "03104",
"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": "03104",
"telephone_number": "603-641-5081",
"fax_number": "603-641-5348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL C GOLD MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2014-03-10",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
"authorized_official_telephone_number": "603-641-5081",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"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 Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.