Individual provider Active NPI

Jason Gold, DO

  • Vascular & Interventional Radiology Physician
  • Fairless Hills, PA
National Provider Identifier
1730509340
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS017753 Issued in PA
Practice address
541 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone
(267) 202-6433
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS017753 PA
Vascular & Interventional Radiology Physician 2085R0204X OS017753 PA Primary

Addresses

Primary practice location

541 S Oxford Valley Rd
Fairless Hills, PA 19030-2612

Mailing address

541 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone (267) 202-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602000018 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9133420169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1251 E Main St
Annville, PA 17003-1643
Phone (717) 932-5200

1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 932-5200

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 932-5200

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 932-5200

2015 Technology Pkwy
Mechanicsburg, PA 17050-9414
Phone (717) 932-5200

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 932-5200

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 932-5200

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 932-5200

4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone (717) 932-5200

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 932-5200

51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200

850 Walnut Bottom Rd
Carlisle, PA 17013-3632
Phone (717) 932-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Geisinger Clinic Current Accepting new patients
University of Pittsburgh Physicians Vascular & Interventional Radiology CurrentSince Aug 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Vascular & Interventional Radiology CurrentSince Jul 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Jul 19, 2021 Accepting new patients
Patient Care Now, LLC PastSince Dec 4, 2016 Accepting new patients

Locations

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

100 N Academy Ave
Danville, PA 17822

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1730509340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302612",
            "telephone_number": "267-202-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302612",
            "telephone_number": "267-202-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS017753",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "OS017753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.