LEE WALTER GOULD (NPI# 1700983137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700983137 |
| Entity Type | Individual |
| Full Name | LEE WALTER GOULD |
| Credential | M.D. |
| Practice Address |
307 St. John's Way Suite 114 Lewiston ID 83501-2456 |
| Practice Telephone | 2087462038 |
| Practice Fax Number | 2087461667 |
| Mailing Telephone | 2087462038 |
| Mailing Fax Number | 2087461667 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00023618 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-4713 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 068197 | 05 | |
| BLUE CROSS IDAHO | 47134 | 01 | |
| ID | 002583800 | 05 | |
| REGENCE BLUESHIELD | 000010005199 | 01 | |
| CA | 1950130 | 05 | |
| WA | 1378603 | 05 | |
| LABOR INDUSTRIES | 84480 | 01 | |
| TRICARE | I902395 | 01 |
| Street Address |
307 ST. JOHN'S WAY SUITE 114 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1386885705 | Lawrence D. Baker | Internal Medicine | 106 Campus Ave., Lewiston, ME 04240-6019 | 2009-03-14 |
| 1578699310 | Anthony C Borgese | Internal Medicine | 5241 Paddock Ln, Lewiston, NY 14092-2034 | 2007-02-26 |
| 1427003243 | Imagin Nuclear Partners Incorporated | Internal Medicine | 631 Morgan Dr, Lewiston, NY 14092-1142 | 2006-05-23 |
| 1578558532 | Richard S Shulman | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2005-09-15 |
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1295174514 | Dafina Pruthi | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2013-06-19 |
| 1760767255 | Maine Cardiology Associates | Internal Medicine | 198 Main St, Suite A, Lewiston, ME 04240-7640 | 2011-10-15 |
| 1093012726 | Beata Anna Bajgierowicz | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2011-02-15 |
| 1487967253 | Providence Health & Services | Internal Medicine | 307 St Johns Way, Lewiston, ID 83501-2435 | 2010-07-21 |
| 1750694683 | Providence Health & Services | Internal Medicine | 2315 8th St Grade, Lewiston, ID 83501-7301 | 2010-07-20 |
| Find all providers in LEWISTON | ||||
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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.