REBECCA N GAUGHAN (NPI# 1063531812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063531812 |
| Entity Type | Individual |
| Full Name | REBECCA N GAUGHAN |
| Credential | M.D. |
| Practice Address |
12906 Goddard Ave Overland Park KS 66213-3487 |
| Mailing Address |
12906 Goddard St Overland Park KS 66214 |
| Practice Telephone | 9138970260 |
| Practice Fax Number | 9138970260 |
| Mailing Telephone | 9138970260 |
| Mailing Fax Number | 9138970260 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 04 22013 | KS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720122062 | Rebecca C Gaughan | Pharmacist | 100 E Main St, Spencer, WV 25276-1503 | 2007-02-19 |
| Street Address |
12906 GODDARD AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164765707 | Solomon Batnitzky | Specialist | 9996 Mackey Cir, Overland Park, KS 66212-3458 | 2013-04-02 |
| 1821338005 | Susan Gliesman | Specialist | 15751 Beverly St, Overland Park, KS 66223-3567 | 2013-02-25 |
| 1982848479 | Jennifer Herynk Thomas | Specialist | 5820 W 85th Ter, Overland Park, KS 66207-1665 | 2009-04-28 |
| 1184876500 | Gary D Hall | Specialist | 14340 Metcalf Ave, Overland Park, KS 66223-2987 | 2008-10-16 |
| 1942459417 | Martha Byers | Specialist | 10600 Quivira Rd Ste 120, Overland Park, KS 66215-2311 | 2008-09-09 |
| 1871794024 | Sheryl Geistkemper-ragland | Specialist | 9700 W 96th St, Overland Park, KS 66212-5105 | 2007-05-29 |
| 1063628634 | L. Susan Herrman | Specialist | 10300 W 103rd St Ste 400, Overland Park, KS 66214-2642 | 2007-05-14 |
| 1609081173 | Shawn Marie Barry | Specialist | 10300 W. 103rd St. Suite 300, Overland Park, KS 66214 | 2007-05-10 |
| 1568589398 | Jo Ellen Fuentes | Specialist | 15238 Broadmoor St, Overland Park, KS 66223-3137 | 2007-03-25 |
| 1477684694 | Karan Y Baucom | Specialist | 7010 W 107th St, Suite 120, Overland Park, KS 66212-1810 | 2007-03-08 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on REBECCA N GAUGHAN.
| 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.