Provider Demographics
NPI:1396878260
Name:GOLD MEDICAL CORP
Entity type:Organization
Organization Name:GOLD MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GOLDSCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-549-1307
Mailing Address - Street 1:4417 MEANDERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-2221
Mailing Address - Country:US
Mailing Address - Phone:301-549-2755
Mailing Address - Fax:301-549-2755
Practice Address - Street 1:4417 MEANDERWOOD DR
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-2221
Practice Address - Country:US
Practice Address - Phone:240-372-7895
Practice Address - Fax:301-549-2755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9115846Medicaid
MDMH32OtherCAREFIRST MARYLAND
DCF868OtherCAREFIRST DC AND ALL FED
MD=========OtherHEALTHNET NORTH REGION
DCF868OtherCAREFIRST DC AND ALL FED