MARK THOMAS GOULD (NPI# 1942349949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942349949 |
| Entity Type | Individual |
| Full Name | MARK THOMAS GOULD |
| Credential | MD |
| Practice Address |
1577 Roberts Dr Ste 225 Jacksonville Beach FL 32250-3265 |
| Mailing Address |
Po Box 117345 Atlanta GA 30368-7345 |
| Practice Telephone | 9042411204 |
| Practice Fax Number | 9042417331 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586489 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME131538 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
ME131538 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278108 | Mark A Gould | Physician Assistant | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2008-06-12 |
| 1811060221 | Mark A Gould | Psychologist | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2006-11-15 |
| 1033127212 | Mark J Gould | Chiropractor | 800 E Woodfield Rd, Suite 116, Schaumburg, IL 60173-4717 | 2006-08-04 |
| 1740257302 | Mark David Gould | Podiatrist | 32730 Walker Rd, Suite I-3, Avon Lake, OH 44012-4100 | 2006-03-02 |
| Street Address |
1577 ROBERTS DR STE 225 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890264 | Milton John Vonthron | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Credentialing Department, Jacksonville Beach, FL 32250-3265 | 2005-06-13 |
| 1831504885 | Robert David Graham | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | 2014-06-29 |
| 1326042789 | Dale A. Whitaker | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891220828 | Hill Orthopedic Center LLC | Orthopaedic Surgery | 540 S Chickasaw Trl, Orlando, FL 32825-7804 | 2017-04-27 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1679511174 | Sophia Esther Deben | Orthopaedic Surgery | 20601 E. Dixie Hwy, Orthopaedic Specialists of Miami Beach, Aventura, FL 33180 | 2006-06-04 |
| 1427005081 | Thomas E Odmark | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-05-28 |
| 1740244243 | Mark S Mizel | Orthopaedic Surgery | 1121 Crandon Blvd Apt F403, Key Biscayne, FL 33149-2779 | 2006-04-13 |
| 1346217635 | Kevin B Newfield | Orthopaedic Surgery | 103 Coco Plum Dr, Marathon, FL 33050-4016 | 2006-03-05 |
| 1124090501 | Stanley S Shama | Orthopaedic Surgery | 232 Bullard Pkwy, Temple Terrace, FL 33617-5512 | 2006-02-01 |
| 1255330288 | Myles Rubin Samotin | Orthopaedic Surgery | 870 111th Ave N, Naples, FL 34108-1869 | 2005-07-20 |
| 1669478038 | Pierre Girard | Orthopaedic Surgery | 621 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2005-06-22 |
| 1316507239 | Wigley Feet | Orthopaedic Surgery | 1595 Ne 163rd St, North Miami Beach, FL 33162-4717 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.