Provider Demographics
NPI:1568439172
Name:GOLD, RAMMY S (MD)
Entity Type:Individual
Prefix:
First Name:RAMMY
Middle Name:S
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1212 GARFIELD AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3207
Mailing Address - Country:US
Mailing Address - Phone:304-865-3600
Mailing Address - Fax:304-865-3700
Practice Address - Street 1:1212 GARFIELD AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3207
Practice Address - Country:US
Practice Address - Phone:304-865-3600
Practice Address - Fax:304-865-3700
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2007-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV18433207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0373804Medicaid
WV0089219000Medicaid
OHG28452Medicare UPIN
WVGO0804714Medicare PIN
WVG28452Medicare UPIN
WV0089219000Medicaid