MARK A GOULD (NPI# 1023278108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023278108 |
| Entity Type | Individual |
| Full Name | MARK A GOULD |
| Credential | PA |
| Practice Address |
1524 Eubank Blvd Ne Ste 6 Albuquerque NM 87112-4160 |
| Mailing Address |
Po Box 95590 Albuquerque NM 87199-5590 |
| Practice Telephone | 5055038806 |
| Practice Fax Number | 8885038511 |
| Mailing Telephone | 5055038806 |
| Mailing Fax Number | 8885038511 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2005-0029 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942349949 | Mark Thomas Gould | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | 2007-02-06 |
| 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 |
1524 EUBANK BLVD NE STE 6 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799989 | Ralph S Hansen | Internal Medicine | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2006-09-13 |
| 1710327366 | Benjamin Norris Lohr | Physician Assistant | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2013-06-27 |
| 1821345117 | Laura M Marsh | Nurse Practitioner | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2012-08-06 |
| 1033492673 | Rehabilitation Partners | Physical Medicine & Rehabilitation | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2011-09-20 |
| 1255640140 | Michelle Dawn Barone | Nurse Practitioner | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2010-09-27 |
| 1508183393 | Christina Chen | Family Medicine | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2010-05-03 |
| 1114110558 | Debra Green | Nurse Practitioner | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2007-08-20 |
| 1013115237 | Carrie A Irvin | Family Medicine | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2007-07-10 |
| 1609944180 | Joseph William Daniels | Internal Medicine | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on MARK A GOULD.
| 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.