Provider Demographics
NPI:1821066481
Name:GOLD, STEVEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3220
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3220
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC93-00129207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
040015603OtherRAILROAD MEDICARE
NC1180501003OtherCIGNA
NC107OtherPRUDENTIAL HEALTHCARE
NC6936081Medicaid
NC2291292OtherAETNA
776091OtherWELLCARE
SC20081683OtherSELECT HEALTH OF SC
NC23459OtherPARTNERS
NC95559OtherMEDCOST
SC000000291973OtherUNISON HEALTH PLAN OF SC
NC36081OtherBCBS
NC4451909OtherAETNA
SCN00129Medicaid
NC36081OtherBCBS
776091OtherWELLCARE