| Gold Diagnostics Corp | |
|
10101 Fondren Rd Ste 112 Houston TX 77096-4679 | |
| (281) 912-3264 | |
| Not Available |
| Full Name | Gold Diagnostics Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 10101 Fondren Rd Ste 112, Houston, Texas |
| Authorized Official Name and Position | Ryan Goldstein (MD) |
| Authorized Official Contact | 7135814715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Diagnostics Corp 10101 Fondren Rd Ste 112 Houston TX 77096-4679 Ph: () - | Gold Diagnostics Corp 10101 Fondren Rd Ste 112 Houston TX 77096-4679 Ph: (281) 912-3264 |
| NPI Number | 1346824554 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 02/13/2022 |
| Medicare PECOS PAC ID | 2961802699 |
|---|---|
| Medicare Enrollment ID | O20210616002821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346824554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharita N C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770998999 PECOS PAC ID: 5890010672 Enrollment ID: I20160421001524 |
| Provider Name | Eva M Fried |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326454463 PECOS PAC ID: 5193941045 Enrollment ID: I20170914001897 |
| Provider Name | Tracy Amerson-rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396227047 PECOS PAC ID: 4789914367 Enrollment ID: I20190924003533 |
| Provider Name | Nicole Dona-maria Bramwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104322213 PECOS PAC ID: 4486083375 Enrollment ID: I20200327001428 |
| Provider Name | Ryan Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447647649 PECOS PAC ID: 8325369754 Enrollment ID: I20210617002709 |
| Provider Name | Gordon Myers |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1881012219 PECOS PAC ID: 3476810391 Enrollment ID: I20211111002884 |
| Provider Name | Kaneisha D Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180608 PECOS PAC ID: 1355731449 Enrollment ID: I20211203001410 |
| Provider Name | Adam Nabatian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548569437 PECOS PAC ID: 7416248604 Enrollment ID: I20211208002156 |
| Provider Name | Emmalita Monik Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780215939 PECOS PAC ID: 7517351067 Enrollment ID: I20220225000829 |
| Provider Name | Ann Blake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578950127 PECOS PAC ID: 0345561957 Enrollment ID: I20220930001316 |
| Provider Name | Kristi Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659348167 PECOS PAC ID: 2062462039 Enrollment ID: I20221014001080 |
| Provider Name | Brielle Dyall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588256291 PECOS PAC ID: 2062814072 Enrollment ID: I20221103000204 |
| Provider Name | Shirley Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063050631 PECOS PAC ID: 5890165831 Enrollment ID: I20230107000187 |
| Provider Name | Salimah Sadruddin Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548866452 PECOS PAC ID: 5597138933 Enrollment ID: I20230306000372 |
| Provider Name | Gisselle Prada Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619587805 PECOS PAC ID: 2264806249 Enrollment ID: I20230314001026 |
| Provider Name | Jennifer Marie Dasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063934636 PECOS PAC ID: 3779957980 Enrollment ID: I20230329001473 |
| Provider Name | Lydia Giron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912558305 PECOS PAC ID: 8527433796 Enrollment ID: I20230406000020 |
| Provider Name | Peggy Sue Goad-goodenough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669198834 PECOS PAC ID: 6204201171 Enrollment ID: I20230406000277 |
| Provider Name | Esther L Lifafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306100433 PECOS PAC ID: 4587012208 Enrollment ID: I20231118000358 |
| Provider Name | Angela D Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861965543 PECOS PAC ID: 1456699164 Enrollment ID: I20240118002700 |
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