GERALD GAUGHAN (NPI# 1609490622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609490622 |
| Entity Type | Individual |
| Full Name | GERALD GAUGHAN |
| Credential | PA-C |
| Practice Address |
14090 Hg Trueman Rd Ste 2500 Solomons MD 20688-3151 |
| Mailing Address |
985 Prince Frederick Blvd Ste 201 Prince Frederick MD 20678-4020 |
| Practice Telephone | 4105352005 |
| Practice Fax Number | 4104354850 |
| Mailing Telephone | 4104145329 |
| Mailing Fax Number | 4105354820 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740211960 | Gerald F. Gaughan | Physical Medicine & Rehabilitation | 1 Bridge St, Ardsley, NY 10502-2136 | 2006-07-05 |
| Street Address |
14090 HG TRUEMAN RD STE 2500 |
| City | SOLOMONS |
| State | MD |
| Zip Code | 20688-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790217180 | Cathleen Marie Pirner | Nurse Practitioner | 14090 Hg Trueman Rd Ste 2500, Solomons, MD 20688-3151 | 2017-04-03 |
| 1265906655 | Marie Grace Del Rosario | Nurse Practitioner | 14090 Hg Trueman Rd Ste 2500, Solomons, MD 20688-3151 | 2019-01-18 |
| 1588188122 | Jennifer J Lewis | Nurse Practitioner | 14090 Hg Trueman Rd Ste 2500, Solomons, MD 20688-3151 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| 1568982981 | Jordan Clinton King | Chiropractor | 14350 Solomos Island Road, Suite #103a, Solomons, MD 20688 | 2017-06-27 |
| 1770027260 | Southern Maryland Myofascial Release, Inc. | Physical Therapist | 90 Holiday Drive, Suite C and D1, Solomons, MD 20688 | 2016-12-19 |
| 1003262171 | Bernice Burroughs | Massage Therapist | 90 Holiday Drive, Suite D3, Solomons, MD 20688 | 2016-05-09 |
| 1780001982 | Kathleen Arban | Social Worker | 14350 Solomons Island Rd. Suite 202, Solomons, MD 20688 | 2014-03-25 |
| 1902175599 | Anne Dennen Etzkorn | Dentist | 14532 Solomons Island Rd, Solomons, MD 20688 | 2011-12-28 |
| 1851532204 | L. Steven Berns, Lcsw-c, Ltd | Social Worker | The Avondale Center, Suite 1244, Solomons, MD 20688 | 2009-03-16 |
| 1285879759 | Joyce Gradle | Counselor | 14350 Solomons Island Rd., Solomons, MD 20688 | 2008-12-11 |
| 1356510713 | The Training Room Inc | Durable Medical Equipment & Medical Supplies | 14090 H G Trueman Rd, Solomons, MD 20688 | 2008-02-29 |
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| Find all providers in zip 20688 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772910 | Rachael Friedel | Physician Assistant | 13457 Lore Pines Ln, Solomons, MD 20688-3144 | 2020-05-19 |
| 1619449410 | Kyle J Clover | Physician Assistant | 14090 Hg Trueman Rd, Solomons, MD 20688-3151 | 2018-12-19 |
| 1134274681 | Barbara Patterson | Physician Assistant | 14090 Solomons Island Rd, Suite 2500, Solomons, MD 20688-3151 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GERALD GAUGHAN.
| 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.