Active NPI
Mark David Gould, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Avon Lake, OH
National Provider Identifier
1740257302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36.002416
- Practice address
- 32730 Walker Rd
Suite I-3
Avon Lake, OH 44012-4100 - Phone
- (440) 933-4021
- Fax
- (440) 933-7132
- NPI assigned
- Mar 2, 2006
- Last updated
- May 29, 2008
- 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 | 36.002416 | OH | Primary |
Addresses
Primary practice location
32730 Walker Rd
Suite I-3
Avon Lake, OH 44012-4100
Mailing address
32730 Walker Rd
Suite I-3
Avon Lake, OH 44012-4100
Phone (440) 933-4021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480004004 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avon Lake Podiatry Inc | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
32730 Walker Rd
Ste I3
Avon Lake, OH 44012
Phone (440) 933-4021
Interoperability endpoints
- mgould37775@ehrdirect.uhhospitals.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Avon Lake, OH
- NPI 1992864490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1740257302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32730 WALKER RD",
"address_2": "SUITE I-3",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440124100",
"telephone_number": "440-933-4021",
"fax_number": "440-933-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32730 WALKER RD",
"address_2": "SUITE I-3",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440124100",
"telephone_number": "440-933-4021",
"fax_number": "440-933-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36.002416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480004004",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.