Randolph Gould, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101035211 Issued in VA

Practice address

880 Kempsville Rd
Ste. 1000
Norfolk, VA 23502-3931

Phone

(757) 261-5000

Fax

(757) 962-5610

NPI assigned

Jun 15, 2005

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

Practice roles

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

• Vascular & Transplant Specialists PC

  • Vascular Surgery Physician
  • VA Beach, VA
  • NPI 1104897636
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1497750780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 KEMPSVILLE RD",
            "address_2": "STE. 1000",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023931",
            "telephone_number": "757-261-5000",
            "fax_number": "757-962-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 KEMPSVILLE RD",
            "address_2": "STE. 1000",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023931",
            "telephone_number": "757-261-5000",
            "fax_number": "757-962-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101035211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007307781",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goudar Corporation
• Lakshmi Ganti Goudar, M.D.
• Ranjit Goudar, M.D.
• Crystal Rose Goulart
• Adam Nathaniel Goulas, IDC
• Jeffrey Ryan Gourley, M.D.
• Lavanya Govindasamy
• Gowem Inc.
• Clarence W. Gowen Jr., M.D.
• Marilyn A. Gowen, M.D.

• Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.