Provider Demographics
NPI:1093719965
Name:GOLD, JEFFREY P (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:P
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:986605 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-6605
Mailing Address - Country:US
Mailing Address - Phone:402-559-4200
Mailing Address - Fax:402-559-4396
Practice Address - Street 1:986605 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-6605
Practice Address - Country:US
Practice Address - Phone:402-559-4200
Practice Address - Fax:402-559-4396
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE27878208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
C10165Medicare UPIN
OHGO4165931Medicare ID - Type Unspecified