Organization Active NPI

Samuel C Gold MD PA

  • Ophthalmology Physician
  • Manchester, NH
National Provider Identifier
1457318578
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7982 Issued in NH
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Samuel Carl Gold, MDNPI 1447448055
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30002630MedicaidNH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.