# TODD GOULD MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609875749
- **Authorized official:** DR. TODD J. GOULD MD (PRESIDENT/OWNER)
- **Authorized official phone:** (937) 335-9020

## Contact information

- **Practice address:** 180 S STANFIELD RD, TROY, OH 45373-2331
- **Practice address phone:** (937) 335-9020
- **Practice address fax:** (937) 335-6684
- **Mailing address:** 180 S STANFIELD RD, TROY, OH 45373-2331
- **Mailing address phone:** (937) 335-9020
- **Mailing address fax:** (937) 335-6684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-07-0691G | OH | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 04/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0800753 | UNITED HEALTH CARE | — |
| 01 | — | 150957CR | PREFERRED CARE | — |
| 01 | — | 180028986 | TROY RRMED | OH |
| 05 | — | 2014680 | — | OH |
| 01 | — | 491600699-00 | WORKERS COMP. | — |
| 01 | — | 491600699004 | MEDICAL MUTUAL, TROY | OH |