DR. JILLIAN GOLD (NPI# 1750871802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750871802 |
| Entity Type | Individual |
| Full Name | DR. JILLIAN GOLD |
| Credential | MD |
| Practice Address |
100 E 33rd St Ste 100 Vancouver WA 98663-2776 |
| Practice Telephone | 3605147560 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 E 33RD ST STE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480949 | Jack E Long | Internal Medicine | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2006-06-03 |
| 1457971244 | Charis Mok | Family Medicine | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2020-04-21 |
| 1043830045 | Diego Aviles | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2020-04-20 |
| 1689293730 | Angela Rofelty | Family Medicine | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2020-04-09 |
| 1235777269 | Jenna Danielle Stevens | Physician Assistant | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-12-20 |
| 1033773775 | Martin Robert Box | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-29 |
| 1508420456 | Kristen Anne Tremaine | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-25 |
| 1295398691 | Jordan Robert Albrich | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-21 |
| 1508429093 | Samual Kelly Lavis | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-19 |
| 1427611102 | Jacqueline Blacnche Berglass | Student in an Organized Health Care Education/Training Program | 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 | 2019-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784558 | Thomas Owen Hall | Student in an Organized Health Care Education/Training Program | 11004 Ne 97th Ave, Vancouver, WA 98662-1578 | 2020-06-15 |
| 1417577883 | Selina Kwok-yung Wong | Student in an Organized Health Care Education/Training Program | 501-2851 Heather Street, Vancouver, BC V5Z 0A2 | 2020-04-25 |
| 1720607179 | Yehuda Mivasair | Student in an Organized Health Care Education/Training Program | 2644 Manitoba Street, Vancouver, BRITISH COLUMBIA V5Y3A8 | 2020-04-15 |
| 1356992358 | Jennifer Denise Pors | Student in an Organized Health Care Education/Training Program | 3203 910 W 10th Avenue Jennefer Pors, Department of Pathology and Laboratory Medicine Vancouv, Vancouver, BC V5Z 4E3 | 2019-09-23 |
| 1336799022 | Alaina George | Student in an Organized Health Care Education/Training Program | 3209 Grant St, Vancouver, WA 98660-2056 | 2019-09-16 |
| 1508323890 | Faustine Pamela Wallum | Student in an Organized Health Care Education/Training Program | 7405 Ne 56th Ave, Vancouver, WA 98661-1047 | 2019-02-22 |
| 1962974840 | Rachel Guffey | Student in an Organized Health Care Education/Training Program | 2615 Ne 114th St, Vancouver, WA 98686-4237 | 2018-12-17 |
| 1831660471 | Terri Sun | Student in an Organized Health Care Education/Training Program | 1202-668 Citadel Parade, Vancouver, BRITISH COLUMBIA V6B1W6 | 2018-12-07 |
| 1235616400 | Karandeep Prehar | Student in an Organized Health Care Education/Training Program | 8608 Ne 31st Cir, Vancouver, WA 98662-6830 | 2018-07-20 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
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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.