Active NPI
Gerald Gold, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Orchard Lake, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 001648
- Practice address
- 3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633 - Phone
- (248) 682-6662
- Fax
- (248) 682-2850
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 001648 | MI | Primary |
Addresses
Primary practice location
3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Mailing address
3206 Orchard Lake Rd
Orchard Lake, MI 48324-1633
Phone (248) 682-6662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3463641 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Ortonville Rd BLDG B
Ortonville Foot Ankle and Wound Clinic
Ortonville, MI 48462-8676
Phone (248) 627-5700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 315 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001648 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew D Andrews DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
455 E Grand River Ave
Ste 202
Brighton, MI 48116
Phone (248) 227-3662
1221 S Ortonville Rd
Bldg B
Ortonville, MI 48462
Phone (248) 627-5700
1221 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-4978
1800 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323
Interoperability endpoints
- gerald.gold.1@24172.direct.athenahealth.com
- ggold@direct.dmc.org
- gerald.gold.1@14250.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Troy, MI
- NPI 1992363097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1568432151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 ORCHARD LAKE RD",
"city": "ORCHARD LAKE",
"state": "MI",
"postal_code": "483241633",
"telephone_number": "248-682-6662",
"fax_number": "248-682-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 ORCHARD LAKE RD",
"city": "ORCHARD LAKE",
"state": "MI",
"postal_code": "483241633",
"telephone_number": "248-682-6662",
"fax_number": "248-682-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "001648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3463641",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.