DR. KEVIN TIDWELL GOULD (NPI# 1992139117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992139117 |
| Entity Type | Individual |
| Full Name | DR. KEVIN TIDWELL GOULD |
| Credential | MD |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 4253810707 |
| Mailing Telephone | 4253810707 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101257209 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Mcchord Afb Flight Medicine Clinic, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 4253810707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568570133 | Kevin Paul Gould | Emergency Medicine | 21080 W 151st St, Olathe, KS 66061-7200 | 2006-08-25 |
| 1578197448 | Kevin Gould | Behavior Technician | 1651 Old Meadow Rd, Mc Lean, VA 22102-4311 | 2020-02-28 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497140206 | Angus Agnew | Emergency Medicine | 315 M.l.k. Jr. Way, Tacoma, WA 98405 | 2015-03-30 |
| 1881037497 | Sathyaraj Murugappan | Emergency Medicine | 315 M.l.k. Jr Way, Tacoma, WA 98405 | 2013-04-12 |
| 1245381474 | Elmer M Casey Jr. | Emergency Medicine | 1930 Port of Tacoma Rd, Tacoma, WA 98421-3707 | 2007-01-15 |
| 1801830096 | Dzung Cao Do | Emergency Medicine | 1717 South J St, Tacoma, WA 98405 | 2006-06-16 |
| 1164463550 | Anthony J Haftel | Emergency Medicine | 1717 S I St, Tacoma, WA 98405-5031 | 2006-06-09 |
| 1699728881 | Steven Albert Pace | Emergency Medicine | 315 Mlk Jr. Way, Tacoma Emergency Care Physicians, Tacoma, WA 98405 | 2006-05-18 |
| 1386615276 | Bernard Neil Mullen II | Emergency Medicine | 9040 Reid, Department of Emergency Medicine, Madigagn Hospital, Tacoma, WA 98433 | 2006-01-30 |
| 1235100306 | Bradley Nels Younggren | Emergency Medicine | Commander, Madigan Army Medical Center, Attn: Mchj-em, Tacoma, WA 98431-0001 | 2006-01-27 |
| 1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
| 1518599034 | Howard Lee Ward Jr. | Emergency Medicine | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-02-12 |
| Find all providers in TACOMA | ||||
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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.