DR. JESSICA GOLD (NPI# 1922412295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922412295 |
| Entity Type | Individual |
| Full Name | DR. JESSICA GOLD |
| Credential | MD/PHD |
| Practice Address |
3401 Civic Center Blvd Philadelphia PA 19104 |
| Mailing Address |
4627 Cedar Ave Philadelphia PA 19143-2117 |
| Practice Telephone | 2674267868 |
| Mailing Telephone | 1522082722 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125064930 | IL | Allopathic & Osteopathic Physicians |
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MT215731 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MT215731 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562925 | Jessica Gold | Nutritionist | 177 Fort Washington Ave Rm 9gs-305, New York, NY 10032-3733 | 2019-08-07 |
| 1689729758 | Jessica L. Gold | Chiropractor | 733 Greenbriar Circle, Petaluma, CA 94954 | 2007-01-25 |
| 1760546733 | Jessica Gold | Internal Medicine | 200 Campus Dr. 373e, Florham Park, NJ 07932 | 2006-12-21 |
| 1366995391 | Jessica Alyse Kaplansky Gold | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2016-07-26 |
| 1962891085 | Jessica Michelle Gold | Nutritionist | 325 Jones Ave, Oak Hill, WV 25901-2908 | 2015-01-13 |
| 1033538442 | Jessica Ashley Gold | Psychiatry & Neurology | 4901 Forest Park Ave, Ste 441, Saint Louis, MO 63108-1495 | 2014-04-14 |
| 1396032660 | Jessica Gold | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2011-07-06 |
| Street Address |
3401 CIVIC CENTER BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1932700259 | Rukhsar Karim Machiwalla | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-11-03 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1275131849 | Kelsey Ann Maher | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-15 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1891309787 | Morgan Mcmanus | Genetic Counselor, MS | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-08 |
| 1891309456 | Abigail G Stefanides | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-01 |
| 1124631247 | Abrar Khaled Alabdulhadi | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-28 |
| 1003427014 | Terrence Caldwell Jr. | Pharmacist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-13 |
| 1760093298 | Paige Emily Naschke | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922317759 | Mindy Li | Medical Genetics | 3615 Civic Center Blvd, Children's Hosp of Philadelphia, Room 1002 Abramson Res. Bldg, Dept of Medical Genetics, Philadelphia, PA 19104-4399 | 2010-09-28 |
| 1083857858 | Reena Natwarlal Jethva | Medical Genetics | 3601 A Street, 3rd Floor Acp, Suite 3314, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 | 2009-04-09 |
| 1649324955 | Ghodrat P Sholevar | Medical Genetics | 618 W Lehigh Ave, Philadelphia, PA 19133 | 2007-01-23 |
| 1699878678 | Adele Schneider | Medical Genetics | 840 Walnut St Ste 1210, Philadelphia, PA 19107-5109 | 2006-09-06 |
| 1871139691 | Stc Opco LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1396389805 | Stc Pediatrics LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1336650456 | Kim Choong Wen Ng | Medical Genetics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-10-16 |
| 1396199543 | Rose Guo | Medical Genetics | 3401 Civic Center Blvd, Division of Human Genetics, Philadelphia, PA 19104 | 2016-04-13 |
| 1750776225 | Theodore George Drivas | Medical Genetics | 3400 Civic Center Blvd, Ste 3005, Philadelphia, PA 19104-5127 | 2015-04-01 |
| 1518355627 | University of Penn-medical Group | Medical Genetics | 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104-4238 | 2014-12-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.