Individual provider Active NPI

Myra A Gold, MPAS - PA-C

  • Medical Physician Assistant
  • Parma, OH
National Provider Identifier
1720171614
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000456 Issued in OH
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

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000456OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCT Operations Inc CurrentSince Oct 16, 2019 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 PastSince Nov 9, 2025 Accepting new patients
SCT Physicians PastSince Sep 20, 2022 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.

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

Verify at the official NPI Registry.