Dr Jonathan G Gold, MD | |
804 Service Rd # A110, East Lansing, MI 48824-7015 | |
(517) 353-3003 | |
(517) 353-5514 |
Full Name | Dr Jonathan G Gold |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 804 Service Rd # A110, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881602316 | NPI | - | NPPES |
1881602316 | Medicaid | MI | |
4255483 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301077191 (Michigan) | Primary |
Entity Name | Michigan State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770646028 PECOS PAC ID: 3870405954 Enrollment ID: O20031218000451 |
Entity Name | Msu Health Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan G Gold, MD 804 Service Rd # A201, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Dr Jonathan G Gold, MD 804 Service Rd # A110, East Lansing, MI 48824-7015 Ph: (517) 353-3003 |
Dr. Melissa P Pieroni Long, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 307 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-487-4480 Fax: 517-487-0193 | |
Dr. Bradley R. Hoopingarner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Service Rd # A110, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 | |
Dr. Marsha Dawn Rappley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: A110 Clinical Ctr, 138 Service Rd, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 | |
Mr. David Lipsitz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 307 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-487-4480 Fax: 517-487-0193 | |
Ashweena Gonuguntla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Service Rd, Suite A110, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 | |
Suad Khalil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Service Rd Ste A217, East Lansing, MI 48824 Phone: 517-353-8122 Fax: 517-432-3713 | |
Dr. Ashir Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: A110 Clinical Center, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 |