Individual provider Active NPI

Richard Samuel Gould, M.D.

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1912992140
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101172 Issued in FL
Practice address
8360 Sierra Meadows Blvd
Naples, FL 34113-7328
Phone
(239) 624-8300
Fax
(239) 403-7802
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 336072558 IL
Family Medicine Physician 207Q00000X T-01043 KS
Family Medicine Physician 207Q00000X ME101172 FL Primary

Addresses

Primary practice location

8360 Sierra Meadows Blvd
Naples, FL 34113-7328

Mailing address

8360 Sierra Meadows Blvd
Naples, FL 34113-7328
Phone (239) 624-8300

Other identifiers 1

IdentifierTypeStateIssuer
000461500MedicaidFL

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

LicenseStateTypeSpecialty
336072558ILMDFamily Medicine Physician
T-01043KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Hma Physician Management, LLC Family Medicine Past Accepting new patients
Anchor Health Centers PA Family Medicine Past Accepting new patients
Palos Community Hospital Past Accepting new patients
Vista Family Medicine Inc Family Medicine Past Accepting new patients
Palos Community Hospital Past Accepting new patients

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1912992140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 SIERRA MEADOWS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137328",
            "telephone_number": "239-624-8300",
            "fax_number": "239-403-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 SIERRA MEADOWS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137328",
            "telephone_number": "239-624-8300",
            "fax_number": "239-403-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "RICHARD",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336072558",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "T-01043",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000461500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.