DAVID N GOULD (NPI# 1366783771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366783771 |
| Entity Type | Individual |
| Full Name | DAVID N GOULD |
| Credential | PA-C |
| Practice Address |
15136 St. Rd. 75 El Centro Family Health Penasco Medical Clinic Penasco NM 87553 |
| Mailing Address |
Po Box 158 El Centro Family Health Espanola NM 87532-0158 |
| Practice Telephone | 5755872205 |
| Practice Fax Number | 5755871944 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2013-0011 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659842110 | David Donald Gould | Chiropractor | 194 Dutch Hill Rd, Frankfort, NY 13340-4904 | 2018-12-10 |
| 1730343781 | David E Gould | Counselor | 2076 Wallum Lake Rd., Burrillville, RI 02859-1813 | 2008-07-17 |
| 1912013368 | David Stanley Gould | Dentist | 23 N Pearl St, Brockton, MA 02301-1707 | 2006-08-21 |
| 1114968625 | David Lawrence Gould | Urology | 900 Jerome St Ste 304, Fort Worth, TX 76104-3941 | 2006-06-08 |
| 1952478331 | David Alan Gould | Specialist | 9 Courthouse Dr, Winfield, WV 25213-9347 | 2006-11-29 |
| 1790856284 | David Burton Gould | Psychologist | 405 W 5th St, Ste. 590, Santa Ana, CA 92701-4519 | 2006-11-13 |
| 1568543254 | David Michael Gould | Family Medicine | 13114 Fm 1960 Rd W, Suite 119, Houston, TX 77065-4290 | 2006-10-18 |
| 1821034406 | David Gould | Surgery | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-21 |
| 1629068077 | David W Gould IIi | Psychiatry & Neurology | 1000 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2005-10-26 |
| Street Address |
15136 ST. RD. 75 EL CENTRO FAMILY HEALTH PENASCO MEDICAL CLINIC |
| City | PENASCO |
| State | NM |
| Zip Code | 87553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071186 | Douglas A. North | Physician Assistant | 15136 St. Rd. 75, Penasco, NM 87553-0238 | 2005-08-31 |
| 1578951422 | Rachel Moore | Dental Hygienist | 15136 St. Rd. 75, El Centro Family Health Penasco Dental Clinic, Penasco, NM 87553-0516 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092645 | Shannon Monique Medina | Social Worker | 13 Old School Rd, Penasco, NM 87553 | 2019-09-18 |
| 1356825186 | Roberta Rodriguez | Dental Hygienist | 15136 St Hwy 75, Penasco, NM 87553 | 2018-09-18 |
| 1750796058 | Greta Carson | Counselor | 15 School Road, Penasco, NM 87553 | 2014-06-25 |
| 1912324724 | El Centro Family Health | Clinic/Center | 14190 State Road 75, Penasco, NM 87553 | 2014-03-19 |
| 1972782472 | Erik Alexander Watson | Dentist | 15136 State Road 75, Penasco, NM 87553 | 2007-10-31 |
| 1871586248 | Lyn M. St. Louis | Dental Hygienist | House#013405 State Rd. 75 - Hcnnm Penasco Dental, Penasco, NM 87553 | 2005-08-31 |
| 1669840310 | Laura Mccutcheon | Physician Assistant | 15136 State Road 75, Penasco, NM 87553 | 2015-09-11 |
| 1164782462 | El Centro Family Health | Clinic/Center | 15136 St. Rd., Penasco, NM 87553-0000 | 2012-05-21 |
| 1669521282 | Taos Health Systems Inc Holy Cross Hospital | Clinic/Center | #24 Highway 73, Penasco, NM 87553-0205 | 2007-01-10 |
| 1447534318 | Lizabeth L. Jamison | Dental Hygienist | State Rd. 75 #15136, El Centro Family Health Penasco Dental, Penasco, NM 87553-0516 | 2011-10-10 |
| Find all providers in zip 87553 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071186 | Douglas A. North | Physician Assistant | 15136 St. Rd. 75, Penasco, NM 87553-0238 | 2005-08-31 |
| 1669840310 | Laura Mccutcheon | Physician Assistant | 15136 State Road 75, Penasco, NM 87553 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.