Provider Demographics
NPI:1073549176
Name:GOLD, MICHAEL HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HOWARD
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 RICHARD JONES RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2885
Mailing Address - Country:US
Mailing Address - Phone:615-383-2400
Mailing Address - Fax:615-383-1948
Practice Address - Street 1:2000 RICHARD JONES RD
Practice Address - Street 2:SUITE 220
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2885
Practice Address - Country:US
Practice Address - Phone:615-383-2400
Practice Address - Fax:615-383-1948
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19596MD174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3043372Medicaid
TN3026483OtherBCBS PROVIDER NUMBER
TN3026483OtherBCBS PROVIDER NUMBER
TN3043372Medicare ID - Type Unspecified