MARY JEAN GOULD-EARLEY MD NPI 1790778272

NPI Information

NPI: 1790778272
Provider Name: MARY JEAN GOULD-EARLEY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4518 UNION DEPOSIT RD
HARRISBURG, PA
ZIP 17111
Phone: (717) 652-5840
Get Directions

Mary Jean Gould-earley, MD is a diagnostic radiology radiology in Harrisburg, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mary Jean Gould-earley, MD NPI is 1790778272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4518 UNION DEPOSIT RD
HARRISBURG, PA
ZIP 17111-921
Phone: (717) 652-5840
Fax: (717) 652-8152

The enumeration date for this NPI number is 8/30/2005 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD055243L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0015112200025	MEDICAID	PENNSYLVANIA
2	625981FJD	MEDICARE PIN	PENNSYLVANIA
3	F233320	MEDICARE UPIN
4	625981PQL	MEDICARE PIN	PENNSYLVANIA
5	625981H96	MEDICARE PIN	PENNSYLVANIA
6	0015112200022	MEDICAID	PENNSYLVANIA
7	0015112200009	MEDICAID	PENNSYLVANIA
8	P00037054	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
9	0015112200026	MEDICAID	PENNSYLVANIA
10	625981NSU	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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