Lee Walter Gould (NPI# 1700983137, PAC ID# 3577464304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1700983137 |
| PAC ID by PECOS | 3577464304 |
| Professional Enrollment ID | I20040115000681 |
| Full Name | Lee Walter Gould |
| Organization Legal Name | KOOTENAI HEALTH |
| Address |
415 6th St Lewiston ID 83501-2431 |
| Phone Number | 2087432511 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4789641598 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| 130049 | KOOTENAI HEALTH |
| 131320 | CLEARWATER VALLEY HOSPITAL & CLINICS |
| 131321 | ST MARYS HOSPITAL AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 1119 Highland Ave, Suite 4, Clarkston, WA 99403-2836 | 5097692929 | KOOTENAI HEALTH |
| 415 6th St, Lewiston, ID 83501-2431 | 2087432511 | KOOTENAI HEALTH |
| Organization Legal Name | KOOTENAI HEALTH |
| Physicians | 232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathanael D Gay | Medical Oncology | Kootenai Health | 1440 E Mullan Ave, Post Falls, ID 83854-9064 |
| Amy D Echelberger | Internal Medicine | Kootenai Health | 1300 E Mullan Ave, Suite 1300, Post Falls, ID 83854-6057 |
| Bucklee Eller | Nurse Practitioner | Kootenai Health | 1296 E Polston Ave, Suite C, Post Falls, ID 83854-5217 |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Matthew G Taylor | Cardiac Electrophysiology | Kootenai Health | 122 W 7th Ave, Suite 310, Spokane, WA 99204-2352 |
| Justin P Garrett | Psychiatry | Kootenai Health | 2199 W Ironwood Ctr Dr, Coeur D Alene, ID 83814-2639 |
| Connor W Quinn | Orthopedic Surgery | Kootenai Health | 1110 W Park Pl, Suite 202, Coeur D Alene, ID 83814-2783 |
| Sarah M Jones | Physician Assistant | Kootenai Health | 700 W Ironwood Dr, Coeur D Alene, ID 83814-4400 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Ryan J Gilles | Family Medicine | Kootenai Health | 1919 Lincoln Way, Suite 315, Coeur D Alene, ID 83814-2527 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip | 83501-2431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle James Daly | Certified Registered Nurse Anesthetist (crna) | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| David B Souvenir | Infectious Disease | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| John W Ho | Interventional Radiology | 415 6th St, Lewiston, ID 83501-2431 | |
| Jane A Fore | Internal Medicine | Hni Hospitalists of Idaho LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Lori Beth Bennett-penn | Psychiatry | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Sarah L Rackers | Emergency Medicine | Hni Medical Services of Idaho, LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Matthew George Krahn | Certified Registered Nurse Anesthetist (crna) | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| William Westel Rowe | Interventional Cardiology | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Brett T Mumford | Family Medicine | Hni Medical Services of Idaho, LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Michael C Minick | Internal Medicine | Hni Hospitalists of Idaho LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
| Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
| Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
| Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
| Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
| Find all physicians in zip 83501 | |||
| City | LEWISTON |
| Zip Code | 83501 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LEWISTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Lee Walter Gould.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.