I L Gold, MD, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

I L GOLD, MD, PA

Practice address

7777 Southwest Fwy
1052
Houston, TX 77074-1802

Phone

(713) 988-8776

Fax

(713) 988-8662

NPI assigned

Oct 1, 2010

Last updated

Sep 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Felan

Title

Billing Manager

Phone

(979) 299-0091

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1558670935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "1052",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-988-8776",
            "fax_number": "713-988-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "1052",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-988-8776",
            "fax_number": "713-988-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I L GOLD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "FELAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "979-299-0091"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0022WD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218382401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219484701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.