MAYA S GOUGH (NPI# 1942824545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942824545 |
| Entity Type | Individual |
| Full Name | MAYA S GOUGH |
| Practice Address |
10284 W Virginia City St Star ID 83669-5619 |
| Practice Telephone | 2082844922 |
| Mailing Telephone | 2082844922 |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2020-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10284 W VIRGINIA CITY ST |
| City | STAR |
| State | ID |
| Zip Code | 83669-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1285014779 | Boise River Physical Therapy | Physical Therapist | 64 S Star Road, Suite 2, Star, ID 83669 | 2015-06-01 |
| 1003250754 | Carol Tidwell | Counselor | 11104 W State St, Star, ID 83669 | 2013-04-24 |
| 1780816652 | Mark Olsen | Dentist | 12192 Evely Pines Ln, Star, ID 83669 | 2009-08-11 |
| 1770759912 | Richard E. Adams | Chiropractor | 11231 W Hercules Dr A, Star, ID 83669 | 2008-05-07 |
| 1861674707 | Keen Eye Vision Pllc | Optometrist | 170 South Seneca Springs Way, Suite 100, Star, ID 83669 | 2007-12-03 |
| 1639358773 | Natural Smile Dental Pllc | Dentist | 10706 W State St, Suite 105, Star, ID 83669 | 2007-10-25 |
| 1659566727 | Allied Mental Health Services, P.l.l.c. | Case Management | 11104 W. State St., Star, ID 83669 | 2007-09-11 |
| 1972709103 | Martin A Mangan | Family Medicine | 10717 W State Street, Star, ID 83669 | 2007-06-25 |
| 1699021246 | Leslie Leet | Social Worker | 246 N Main St, Star, ID 83669 | 2012-08-01 |
| Find all providers in zip 83669 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952963563 | Carole Jane Milstead | Specialist/Technologist | 10539 W Snow Wolf Dr, Star, ID 83669-5891 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030237 | Brandon Garfield | Specialist/Technologist | 3287 W Twin Rd, Moscow, ID 83843-8130 | 2020-07-14 |
| 1831717040 | Anna Richter | Specialist/Technologist | 1946 W Janet Ct, Eagle, ID 83616-3757 | 2020-07-14 |
| 1811515067 | Lexis Fouts | Specialist/Technologist | 617 W Taylor Ave # A, Moscow, ID 83843-2411 | 2020-07-13 |
| 1073131629 | Shaelynn Meek | Specialist/Technologist | 1350 E Warm Springs Ave, Post Falls, ID 83854-9693 | 2020-07-09 |
| 1063039204 | Jadelyn Taylor Eisele | Specialist/Technologist | 707 Railroad St Apt 4, Moscow, ID 83843-2381 | 2020-07-04 |
| 1366069593 | Tyler Hempfling Volkmann | Specialist/Technologist | 924 Indian Hills Dr, Moscow, ID 83843-5096 | 2020-07-03 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1013531680 | Dalton Tanner Pitts | Specialist/Technologist | 1433 W A St, Moscow, ID 83843-3274 | 2020-05-29 |
| 1083238646 | Shyla Marie Flavel | Specialist/Technologist | 1022 W Recess Way, Kuna, ID 83634-2459 | 2020-05-29 |
| 1528680568 | David Book | Specialist/Technologist | 1707 N 26th St, Boise, ID 83702-0112 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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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.