SARAH E GOUGH (NPI# 1487089108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487089108 |
Entity Type | Individual |
Full Name | SARAH E GOUGH |
Credential | NP |
Practice Address |
802 Medical Circle Suite 100 Longview TX 75605-5100 |
Mailing Address |
Po Box 610393 Dallas TX 75261-0393 |
Practice Telephone | 9037576042 |
Practice Fax Number | 9032328213 |
Mailing Telephone | 9032916187 |
Mailing Fax Number | 9032371810 |
Enumeration Date | 2013-09-12 |
Last Update Date | 2019-09-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
714260 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 325488002 | 05 |
Street Address |
802 MEDICAL CIRCLE SUITE 100 |
City | LONGVIEW |
State | TX |
Zip Code | 75605-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558338061 | William D Perkins | Psychiatry & Neurology | 802 Medical Circle, Suite 300, Longview, TX 75605-5100 | 2006-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
Find all providers in zip 75605 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784838 | Jennifer Nicole Skiles | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-05-08 |
1104328947 | Laura Childress | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-03-07 |
1790051548 | Wendy Mckinnon | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2012-03-27 |
1780987289 | Margaret M Dodson | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2010-12-06 |
1346556420 | Patricia Brooke Simmons | Nurse Practitioner | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 | 2010-08-26 |
1801100201 | Kathleen Anne Wirtz | Nurse Practitioner | 1655 Hudson St Ste 1, Longview, WA 98632-2949 | 2010-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
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.