C FRED GOTT (NPI# 1639177645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639177645 |
| Entity Type | Individual |
| Full Name | C FRED GOTT |
| Credential | M.D. |
| Practice Address |
191 W Professional Park Ct Bowling Green KY 42104 |
| Mailing Address |
Po Box 1078 Bowling Green KY 42102-1078 |
| Practice Telephone | 2707827464 |
| Practice Fax Number | 2707828025 |
| Mailing Telephone | 2707827464 |
| Mailing Fax Number | 2707828025 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20987 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | FED TAX ID | 611077855 | 01 |
| KY | 64209877 | 05 | |
| KY | BLUE CROSS BLUE SHIELD | 000000048588 | 01 |
| Street Address |
191 W PROFESSIONAL PARK CT |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760547103 | C Fred Gott M.d. | Clinic/Center | 191 W Professional Park Ct, Bowling Green, KY 42104-3230 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258088 | Kalidas G Sahetya | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-01-05 |
| 1124439377 | Richard Pham | Internal Medicine | 250 Park St, Bowling Green, KY 42101 | 2014-05-09 |
| 1285913939 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1037 Conneaut Ave, Suite 202, Bowling Green, OH 43402-5301 | 2011-08-12 |
| 1326231622 | Muhammad Shoaib Akbar | Internal Medicine | 1325 Andrea St, Ste 207, Bowling Green, KY 42104-5852 | 2007-08-21 |
| 1447459193 | Madhav Lavu | Internal Medicine | 825 2nd Ave Ste B1, Bowling Green, KY 42101-1790 | 2007-07-13 |
| 1598968604 | Beth Ann Bryant M.d. Psc | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2007-06-06 |
| 1790996080 | Mohammad Abdul-waheed | Internal Medicine | 825 2nd Ave, Ste. B1, Bowling Green, KY 42101-1786 | 2007-05-25 |
| 1437188984 | John O Fitts | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2006-06-30 |
| 1861436917 | Beth A. Bryant | Internal Medicine | 1325 Andrea St, Suite 101, Bowling Green, KY 42104-5852 | 2006-06-16 |
| 1215978101 | John O Fitts M.d., Psc | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2006-06-09 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.