EDWIN CLIFFORD MCGOUGH (NPI# 1487994562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487994562 |
| Entity Type | Individual |
| Full Name | EDWIN CLIFFORD MCGOUGH |
| Credential | MD |
| Practice Address |
705 N Pioneer Fork Rd Salt Lake City UT 84108-1642 |
| Practice Telephone | 8015549481 |
| Mailing Telephone | 8015549481 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2014-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 154013-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
705 N PIONEER FORK RD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319722 | Antigoni Koliopoulou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # Som3c127, Salt Lake City, UT 84132-0002 | 2016-11-21 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1659630572 | John David Vossler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # 3c127, Salt Lake City, UT 84132-0002 | 2012-05-12 |
| 1407145535 | Utl Solutions, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 369 E 900 S, Suite 279, Salt Lake City, UT 84111-4331 | 2011-03-29 |
| 1003063934 | Clynn Roberts Ford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2843 Lancaster Dr, Salt Lake City, UT 84108-2535 | 2008-08-21 |
| 1356335970 | J Kent Thorne | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 E. 3900 S, #3500, Salt Lake City, UT 84124 | 2005-09-09 |
| 1255795308 | University of Utah Pediatric Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
| 1184028995 | University of Utah Adult Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073871042 | Ashley Eleen Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2012-04-27 |
| 1639456767 | Dimitrios Koudoumas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2011-11-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.