FREDRIC GOUGH (NPI# 1689897019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689897019 |
Entity Type | Individual |
Full Name | FREDRIC GOUGH |
Credential | MD |
Practice Address |
1200 B Gale Wilson Blvd Fairfield CA 94533-3552 |
Mailing Address |
646 Brown Ct Benicia CA 94510-3940 |
Practice Telephone | 7074297930 |
Mailing Telephone | 7077467663 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PH0002X |
Emergency Medicine Specialization: Hospice and Palliative Medicine |
G40525 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1200 B GALE WILSON BLVD |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-3552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649263526 | Ronald T Stafford | Anesthesiology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2005-08-25 |
1295334753 | Manpreet Kaur | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-10-25 |
1861004533 | Rokzanne Dosier | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-08-23 |
1457984882 | Neeta Bhasin | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-13 |
1083246003 | Carol Ritzinger | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-02-07 |
1659901239 | Elayne Faucett Maples | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-01-22 |
1760024384 | Gina Cristina Copak | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2019-10-15 |
1952880437 | Hospitalist Medicine Physicians of California-tcg, PC | Internal Medicine | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-08-07 |
1487132007 | Hospitalist Medicine Physicians of California - Fairfield, PC | Internal Medicine | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-08-06 |
1548747686 | Sandra Manzato Barboza Tinoco | Dietitian, Registered | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 207PH0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Hospice and Palliative Medicine |
An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508028481 | Ruth Irene Ochoa | Emergency Medicine | 2901 22nd Ave, Oakland, CA 94606-3503 | 2008-07-01 |
1902073802 | Lisa Raptis | Emergency Medicine | 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767-3042 | 2008-05-11 |
1427409929 | Larry Foreman, Do | Emergency Medicine | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2016-06-27 |
1689019010 | David Wang | Emergency Medicine | 10010 Campus Point Dr, Mailbox Cpc 305, San Diego, CA 92121-1518 | 2013-04-29 |
1194913251 | Megan C Swan | Emergency Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2007-10-12 |
1598966053 | Cynthia Kay Mackey | Emergency Medicine | 43112 15th St W, Lancaster, CA 93534-6219 | 2007-05-30 |
1245443688 | Christine Roland | Emergency Medicine | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2007-05-08 |
1992924104 | Charles V Magee | Emergency Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2007-04-25 |
1376766808 | Indio Emergency Medical Group Inc | Emergency Medicine | 74990 Country Club Dr, Suite 310, Palm Desert, CA 92260-1991 | 2007-04-11 |
1225252539 | William Lockwood Teufel | Emergency Medicine | 250 Bon Air Rd, Box 8010, Greenbrae, CA 94904-1702 | 2007-04-11 |
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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.