Provider Demographics
NPI:1932128055
Name:GOULD, SIGMUND STANLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:SIGMUND
Middle Name:STANLEY
Last Name:GOULD
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 1:405 PARKWAY
Mailing Address - Street 2:STE B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401
Mailing Address - Country:US
Mailing Address - Phone:336-274-2441
Mailing Address - Fax:336-274-2565
Practice Address - Street 1:405 PARKWAY
Practice Address - Street 2:STE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401
Practice Address - Country:US
Practice Address - Phone:336-274-2441
Practice Address - Fax:336-274-2565
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21562207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900987Medicaid
NC5900987Medicaid
NC201806BMedicare ID - Type Unspecified
NC0216270001Medicare NSC