DR. JIM J GOULD M.D.
NPI 1649200296
Pediatrics in Tooele, UT
NPI Status: Active since July 03, 2006
Contact Information
2356 N 400 E
SUITE 202
TOOELE, UT
ZIP 84074
Phone: (435) 843-8380
Fax: (435) 843-8382
- Individual
- Male
- Pediatrics
- Accepts Insurance
- CLIA Number: 46D1030419
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-06-2026
About JIM GOULD
This page provides the complete NPI Profile along with additional information for Jim Gould, a pediatrician established in Tooele, Utah with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1649200296 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 4947065-1205 (UT). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1649200296
- Provider Name
- DR. JIM J GOULD M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2356 N 400 E SUITE 202 TOOELE, UT 84074
- Location Phone
- (435) 843-8380
- Location Fax
- (435) 843-8382
- Mailing Address
- 2356 N 400 E SUITE 202 TOOELE, UT 84074
- Mailing Phone
- (435) 843-8380
- Mailing Fax
- (435) 843-8382
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2006
- Last Update Date
- 03-21-2014
- Code Navigator
A pediatrician like Jim Gould is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4947065-1205
- License State
- UT
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- SaveWell Standard Bronze 7500 - EPO
- SaveWell Standard Gold 1500 - EPO
- SaveWell Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H02108 | MEDICARE UPIN (02) | UT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D1030419
- Facility Type
- Physician Office
- Certificate Effective Date
- September 07, 2024
- Certificate Expiration Date
- September 06, 2026
- Laboratory Director
- GORDON DUVAL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jim Gould to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DR. JIM J GOULD M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 0 | 0 | 2 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 0 | 0 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 0 + 0 + 2 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1649200296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902809528 | KIM A. HALLADAY D.P.M. Individual | Podiatrist | 2356 N 400 E STE 104 TOOELE, UT 84074 (435) 882-0711 |
| 1619974664 | CHAD JARVIS DA-C Individual | Physician Assistant | 2356 N 400 E STE 201 TOOELE, UT 84074 (435) 882-2350 |
| 1770766586 | SERGIO ABARCA, M.D., INC Organization | Family Medicine | 2356 N 400 E STE 201 TOOELE, UT 84074 (435) 882-2350 |
| 1255509154 | TOOELE FOOT & ANKLE CLINIC, INC. Organization | Podiatrist (Foot & Ankle Surgery) | 2356 N 400 E STE 104 TOOELE, UT 84074 (435) 882-0711 |
| 1366719015 | JIM J. GOULD, MD PC Organization | Clinic/Center | 2356 N 400 E SUITE 202 TOOELE, UT 84074 (435) 843-8380 |
| 1497011605 | ACG COUNSELING SERVICES, LLC Organization | Counselor (Professional) | 2356 N 400 E SUITE 202 TOOELE, UT 84074 (801) 783-9292 |
| 1245238617 | SERGIO ABARCA M.D. Individual | Family Medicine | 2356 N 400 E STE 201 TOOELE, UT 84074 (435) 882-2350 |
| 1184807992 | BLAKE R. BEAZER, M.D., INC Organization | Family Medicine | 2356 N 400 E STE. 201 TOOELE, UT 84074 (435) 882-2350 |
| 1073510012 | BLAKE RICHARD BEAZER MD Individual | Family Medicine | 2356 N 400 E STE 201 TOOELE, UT 84074 (435) 882-2350 |
| 1598295586 | BRADLEY ALLEN KLEMETSON DPT Individual | Physical Therapist | 2356 N 400 E TOOELE, UT 84074 (435) 843-1311 |
| 1013466978 | JESSE YARRINGTON Individual | Physician Assistant | 2356 N 400 E STE 201 TOOELE, UT 84074 (435) 882-2350 |
| 1104920354 | CRAIG AARON PACKHAM PA-C Individual | Physician Assistant (Medical) | 2356 N 400 E STE 102 TOOELE, UT 84074 (435) 833-9180 |
| 1639195472 | MEIER & MARSH PROFESSIONAL Organization | Physical Therapist | 2356 N 400 E SUITE 101 TOOELE, UT 84074 (435) 843-1311 |
| 1770581605 | MOUNTAIN WEST FAMILY PRACTICE LLC Organization | Family Medicine | 2356 N 400 E SUITE 201 TOOELE, UT 84074 (435) 882-2350 |
| 1699004499 | TOOELE VALLEY IMAGING, LLC Organization | Clinic/Center (Magnetic Resonance Imaging (MRI)) | 2356 N 400 E SUITE 103 TOOELE, UT 84074 (435) 882-1674 |
| 1275319733 | HAYLEY BALDWIN BALDWIN LCSW Individual | Social Worker (Clinical) | 2356 N 400 E TOOELE, UT 84074 (435) 850-2547 |
| 1851767495 | KENNETH DAVID BROWN DPT Individual | Physical Therapist | 2356 N 400 E TOOELE, UT 84074 (435) 843-1311 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649200296, enumerated in the NPI registry as an "individual" on July 03, 2006
The provider is located at 2356 N 400 E Suite 202 Tooele, Ut 84074 and the phone number is (435) 843-8380
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 46D1030419 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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