| NPI | 1023015302 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-01 |
| Last Updated | 2023-07-31 |
| Mailing Address | Po Box 781076 Detroit, MI 48278-1076 United States Phone: (317) 528-4800 | Fax: (317) 865-1479 📍 View Map |
| Primary Practice Address | 1141 S Indiana Ave Crown Point, IN 46307-7205 United States Phone: (219) 662-0700 | Fax: (219) 662-0973 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IN | 200084250 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | IN | 01044839 |
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About NPI 1023015302
Lisa Camille Gold MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1023015302. The primary specialty listed is Pediatrics. The provider is located in Crown Point, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023015302?
NPI 1023015302 belongs to Lisa Camille Gold MD, a Pediatrics in Crown Point, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023015302 active?
The current status of NPI 1023015302 in the NPPES registry is Active. The record was last updated on 2023-07-31.
What specialty is NPI 1023015302?
NPI 1023015302 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023015302?
You can verify NPI 1023015302 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023015302?
The primary practice address on file for NPI 1023015302 is 1141 S Indiana Ave, Crown Point, IN 46307-7205. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023015302 issued?
NPI 1023015302 was first issued (enumerated) on 2005-07-01. The NPPES record was last updated on 2023-07-31.
Practice Location Map
Lisa Camille Gold is located at 1141 S Indiana Ave, Crown Point, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lisa Camille Gold. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1023015302. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 01044839 | IN |