MEDICARE: KAREN MARIE PEARCE GOLD MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	19578	OK

General Provider Information

NPI Number	:	1801938733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN MARIE PEARCE GOLD MD PC

Provider Business Mailing Address
First Line	:	3435 NW 56TH ST
Second Line	:	SUITE 404
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4448
Country	:	US
Telephone Number	:	405-373-4340
Fax Number	:	405-373-2950

Provider Business Practice Location Address
First Line	:	3435 NW 56TH ST
Second Line	:	SUITE 404
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4448
Country	:	US
Telephone Number	:	405-373-4340
Fax Number	:	405-373-2950

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	KIMBERLY K BAILEY
Credential	:
Telephone Number	:	405-373-4340

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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