Active NPI
Jim J Gould, M.D.
- Pediatrics Physician
- Tooele, UT
National Provider Identifier
1649200296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4947065-1205
- Practice address
- 2356 N 400 E
Suite 202
Tooele, UT 84074-3409 - Phone
- (435) 843-8380
- Fax
- (435) 843-8382
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4947065-1205 | UT | Primary |
Addresses
Primary practice location
2356 N 400 E
Suite 202
Tooele, UT 84074-3409
Mailing address
2356 N 400 E
Suite 202
Tooele, UT 84074-3409
Phone (435) 843-8380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4947065-1205 | UT | MD | Pediatrics Physician |
Interoperability endpoints
- jgould@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1649200296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 N 400 E",
"address_2": "SUITE 202",
"city": "TOOELE",
"state": "UT",
"postal_code": "840743409",
"telephone_number": "435-843-8380",
"fax_number": "435-843-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2356 N 400 E",
"address_2": "SUITE 202",
"city": "TOOELE",
"state": "UT",
"postal_code": "840743409",
"telephone_number": "435-843-8380",
"fax_number": "435-843-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "JIM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "4947065-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.