MERRIE BETH GOUGH (NPI# 1720184005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720184005 |
| Entity Type | Individual |
| Full Name | MERRIE BETH GOUGH |
| Practice Address |
509 N Brightleaf Blvd Smithfield NC 27577-4407 |
| Mailing Address |
7208 Rusted Oak Rd Wake Forest NC 27587-7170 |
| Practice Telephone | 9199387188 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 108648 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
509 N BRIGHTLEAF BLVD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535239 | Obafemi Adewunmi | Internal Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2005-06-02 |
| 1093331936 | Adam Aydin Atik | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2020-06-16 |
| 1891336251 | Alexxis Rae Langton | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-10-07 |
| 1174086441 | Wake Emergency Physicians Pa | Emergency Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-04-12 |
| 1699259499 | Brittany Ann Jenkins | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-18 |
| 1891277810 | Kylie Mcdermott Cox | Registered Nurse | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-06 |
| 1043799208 | Edward A Fulghum | Physical Therapy Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-08-08 |
| 1629576533 | Ryan Matthew Jones | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-25 |
| 1245748946 | Avni Garg | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-16 |
| 1285146217 | Kiana Morgan Fussner | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700089042 | Donna T. Everett-podis | Nurse Anesthetist, Certified Registered | 45 Cambridge Cir, Smithfield, RI 02917-2564 | 2007-06-06 |
| 1679679195 | Sherry Baker | Nurse Anesthetist, Certified Registered | 509 North Bright Leaf Blvd, Smithfield, NC 27577 | 2006-09-15 |
| 1275735425 | Johnston Health Services Corporation | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-06-01 |
| 1174652242 | Allison Renee Machado | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-03-05 |
| 1780735381 | Erin Colleen Joyner | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-01-12 |
| 1043301229 | Jennifer C. Johler | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-09-27 |
| 1396841409 | Patricia P Murray | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-09-15 |
| 1851497473 | Michael Caskey | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-09-15 |
| 1265538755 | Lucy Coats | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-09-15 |
| 1356447775 | Stephen James Delaporte | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-09-15 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.