FREDRIC GOUGH


Address: 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552
Phone: 7074297930

FREDRIC GOUGH (NPI# 1689897019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PH0002X Emergency Medicine
Specialization: Hospice and Palliative Medicine
G40525 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1200 B GALE WILSON BLVD
City FAIRFIELD
State CA
Zip Code 94533-3552

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207PH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

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City FAIRFIELD
Zip Code 94533

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Dataset Information

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.

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