RAYMOND CLAY GOULD (NPI# 1679576318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679576318 |
| Entity Type | Individual |
| Full Name | RAYMOND CLAY GOULD |
| Credential | MD |
| Practice Address |
1101 Medical Center Blvd Marrero LA 70072-3147 |
| Practice Telephone | 5043491480 |
| Practice Fax Number | 5043491490 |
| Mailing Telephone | 5043491480 |
| Mailing Fax Number | 5043491490 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2011-06-08 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
019052 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1996033 | 05 |
| Street Address |
1101 MEDICAL CENTER BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369052 | Tyra Branch | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-09-01 |
| 1811509771 | Tamara Lee | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-08-20 |
| 1679192983 | Eboni Brayell Payton | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-04-16 |
| 1316576408 | Lauren Eustis Mcmanamon | Student in an Organized Health Care Education/Training Program | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-04-02 |
| 1336788769 | Jennifer Le | Nurse Anesthetist, Certified Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-01-02 |
| 1255991725 | Kristin Burnett | Physical Therapist | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2019-06-17 |
| 1568021186 | Alexander D Wong | Nurse Anesthetist, Certified Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2019-06-07 |
| 1033649124 | Rosalie Marie Larson | Registered Nurse | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2017-06-13 |
| 1811425523 | Maria D Davis | Respiratory Therapist, Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2017-05-24 |
| 1265964191 | Shaza R Mohamed | Internal Medicine | 1101 Medical Center Blvd, 4 West, Marrero, LA 70072 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489362 | Acadiana Radiation Therapy LLC | Radiology | 525 N Lewis St, New Iberia, LA 70563-2015 | 2014-09-15 |
| 1235557000 | Audrey Dang | Radiology | 232 Southwood Dr, Gretna, LA 70056-7865 | 2014-03-31 |
| 1972931715 | David S Chang LLC | Radiology | 1200 E Mcneese St, Suite B, Lake Charles, LA 70607-4770 | 2013-10-14 |
| 1437442472 | Ross Edward Bland | Radiology | 411 Calypso Street, Monroe, LA 71201 | 2011-05-24 |
| 1477846913 | Edward Mannina | Radiology | 1120 Robert Blvd Ste 100, Slidell, LA 70458 | 2011-05-17 |
| 1730488974 | Jill Nicole Vincent | Radiology | 2000 Canal St Fl 1, New Orleans, LA 70112 | 2011-03-25 |
| 1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
| 1760708614 | Rachael E Harmon | Radiology | 3600 Prytania St., Ste. 35, New Orleans, LA 70115-3678 | 2010-04-18 |
| 1235364159 | Carl S Merlin | Radiology | 3 Poydras St, Unit 4f, New Orleans, LA 70130-1657 | 2009-05-20 |
| 1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
| 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.