Active NPI
Myra A Gold, MPAS - PA-C
- Medical Physician Assistant
- Parma, OH
National Provider Identifier
1720171614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000456
- Practice address
- 12301 Snow Rd
Parma, OH 44130-1002 - Phone
- (216) 362-2000
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000456 | OH | Primary |
Addresses
Primary practice location
12301 Snow Rd
Parma, OH 44130-1002
Mailing address
19596 Hunt Rd
Strongsville, OH 44136-8333
Phone (440) 238-6544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000456 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCT Operations Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Past | Accepting new patients | |
| Mills Medical Practices, LLC | Past | Accepting new patients | |
| SCT Physicians | Past | Accepting new patients |
Locations
6993 Pearl Rd
Middleburg Heights, OH 44130
4503 Brookpark Rd
Parma, OH 44134
Phone (216) 398-0349
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Parma, OH
- NPI 1427548049
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Primary Care Clinic/Center
- Beachwood, OH
- NPI 1477701969
-
- Multi-Specialty Clinic/Center
- Broadview, IL
- NPI 1477275485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1720171614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19596 HUNT RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441368333",
"telephone_number": "440-238-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 SNOW RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441301002",
"telephone_number": "216-362-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "MYRA",
"middle_name": "A",
"credential": "MPAS - PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "000456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.