Individual provider Active NPI

Robert E Gould, DO

  • Interventional Pain Medicine Physician
  • Westerville, OH
National Provider Identifier
1972501724
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34009895 Issued in OH
Practice address
450 Alkyre Run Ste 360
Westerville, OH 43082-6914
Phone
(614) 918-9808
Fax
(614) 918-9807
NPI assigned
Jul 13, 2005
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 34009895 OH Primary

Addresses

Primary practice location

450 Alkyre Run Ste 360
Westerville, OH 43082-6914

Mailing address

19645 Progress Dr
Strongsville, OH 44149-3205
Phone (440) 234-8833

Other identifiers 2

IdentifierTypeStateIssuer
2352430MedicaidOH
200405070MedicaidIN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000120 OH Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2769494723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

450 Alkyre Run
Suite 360
Westerville, OH 43082-6914
Phone (614) 918-9808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34009895OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galion Community Hospital CurrentSince Jun 1, 2013 Accepting new patients
Grady Memorial Hospital Interventional Pain Medicine CurrentSince Sep 25, 2010 Accepting new patients
Galion Community Hospital CurrentSince Jun 1, 2013 Accepting new patients
Corpath LTD Current Accepting new patients
PM&R Pain Free, LLC CurrentSince May 1, 2015 Accepting new patients
Midwest Pain Treatment Center, LLC Pain Medicine Past Accepting new patients
Meridian Health Group Past Accepting new patients
Access Medical Group LLC Past Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients
CRB of Ohio, Inc Past Accepting new patients
Center for Surgical Dermatology Inc PastSince May 1, 2015 Accepting new patients

Locations

L3652
Columbus, OH 43260

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547

269 Portland Way S
Fl 1
Galion, OH 44833
Phone (419) 688-2652

7550 Lucerne Dr
Ste 405
Middleburg Heights, OH 44130
Phone (440) 234-8833

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

19645 Progress Dr
Strongsville, OH 44149

450 Alkyre Run
Ste 360
Westerville, OH 43082
Phone (614) 847-4100

Organizations & group practices 12

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1972501724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19645 PROGRESS DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441493205",
            "telephone_number": "440-234-8833",
            "fax_number": "440-234-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN STE 360",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826914",
            "telephone_number": "614-918-9808",
            "fax_number": "614-918-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34009895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2352430",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200405070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.