Provider Demographics
NPI:1407888548
Name:GOLD, ASHER B (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHER
Middle Name:B
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 1:9827 8TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2122
Mailing Address - Country:US
Mailing Address - Phone:206-979-4732
Mailing Address - Fax:206-522-0283
Practice Address - Street 1:550 16TH AVE STE 404
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5636
Practice Address - Country:US
Practice Address - Phone:206-322-1765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035662207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z18291OtherD/S REGENCE 90
WA8240517Medicaid
134918OtherL&I
AB11883Medicare ID - Type Unspecified
G000156100Medicare PIN
134918OtherL&I
050078908Medicare ID - Type UnspecifiedRR
WA8240517Medicaid