Basic Information
Provider Information
NPI: 1558355073
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEININGER-GOLD
FirstName: CLAUDIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 444 STOCKBRIDGE RD
Address2:  
City: GREAT BARRINGTON
State: MA
PostalCode: 012301295
CountryCode: US
TelephoneNumber: 4135288580
FaxNumber: 4135288583
Practice Location
Address1: 444 STOCKBRIDGE RD
Address2:  
City: GREAT BARRINGTON
State: MA
PostalCode: 012301295
CountryCode: US
TelephoneNumber: 4135288580
FaxNumber: 4135288583
Other Information
ProviderEnumerationDate: 09/12/2005
LastUpdateDate: 01/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X73497MAY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
20370901 HARVARD PILGRIM HLTH PLANOTHER
2690201 MVPOTHER
1004347901 CDPHPOTHER
2614901 HEALTH NEW ENGLANDOTHER
P215797601 OXFORDOTHER
307008505MA MEDICAID
J0169901MABCBSOTHER
07313001 CTCAREOTHER
1275201 CIGNAOTHER
2810301 CHILDRENS MED SEC PLANOTHER
MD036801 HEALTHNET OF NE INCOTHER
00000002095001 BMC HEALTHNETOTHER
127289701 UNITED HEALTHOTHER
0145754705NY MEDICAID
07349701 TUFTS HEALTH PLANOTHER


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