Dale M Goughnour (NPI# 1831267806, PAC ID# 8325002702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1831267806 |
| PAC ID by PECOS | 8325002702 |
| Professional Enrollment ID | I20041116000269 |
| Full Name | Dale M Goughnour |
| Address |
220 Main St Suite 100 Portage PA 15946-1119 |
| Phone Number | 8147365000 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390110 | CONEMAUGH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1454 Scalp Ave, Suite 1, Johnstown, PA 15904-3321 | 8142666164 | LOVELY FOOT ASSOCIATES PC |
| 220 Main St, Suite 100, Portage, PA 15946-1119 | 8147365000 |
| Street Address |
220 MAIN ST SUITE 100 |
| City | PORTAGE |
| State | PA |
| Zip | 15946-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darci Jones | Clinical Social Worker | 220 Main St, Polson, MT 59860-2167 | |
| William M Herro | Physical Therapy | 220 Main St, Suite 3, Center Moriches, NY 11934-3516 | |
| Mandy M Kreager | Chiropractic | Kreager Chiropractic, PC | 220 Main St, Unit G, Windsor, CO 80550-5047 |
| Rodney L Den Hartog | Chiropractic | 220 Main St, Sanborn, IA 51248-7728 | |
| Todd A Kreager | Chiropractic | Kreager Chiropractic, PC | 220 Main St, Unit G, Windsor, CO 80550-5047 |
| Peter J Thiele | Physician Assistant | Oakland Mercy Hospital | 220 Main St, Lyons, NE 68038-2676 |
| Joan Y D'angelo | Clinical Social Worker | Family Service League Inc | 220 Main St, Center Moriches, NY 11934-3516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Herald | Chiropractic | 808 Caldwell Ave, Suite 102, Portage, PA 15946-1571 | |
| Stanley John Golden | Diagnostic Radiology | Cambria Somerset Radiology and Nuclear Medicine Group Inc | 1044 Willow Beach Rd, Portage, PA 15946-5506 |
| Sean David Riek | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 3670 Portage St, Suite 105, Portage, PA 15946-6546 |
| Mark J Ratchford | Family Medicine | Dlp Conemaugh Physician Practices LLC | 3670 Portage St, Suite 105, Portage, PA 15946-6546 |
| City | PORTAGE |
| Zip Code | 15946 |
| Specialty | PODIATRY |
| City + Specialty | PORTAGE + PODIATRY |
Please comment or provide details below to improve the information on Dale M Goughnour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.