DIRK A. GOUGE, D.O. NPI 1023291812

Orthopaedic Surgery in Port Angeles, WA

NPI 1023291812 Organization Orthopaedic Surgery

About DIRK A. GOUGE, D.O.

Dirk A. Gouge, D.o. is a provider established in Port Angeles, Washington specializing in orthopaedic surgery. The NPI number of Dirk A. Gouge, D.o. is 1023291812 and was assigned on December 2007. The practitioner's primary taxonomy code is 207X00000X with license number OP00001549 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Dirk A. Gouge, D.o. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Debra Kiesser (Claims Biller)

NPI

1023291812

Provider NameDIRK A. GOUGE, D.O.
Provider Location Address1004 CAROLINE ST PORT ANGELES, WA 98362
Provider Mailing Address1004 CAROLINE ST PORT ANGELES, WA 98362
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-14-2007
Last Update Date12-14-2007


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.OP00001549
License StateWA
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

DIRK A. GOUGE, D.O.
1004 CAROLINE ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 457-1500
Fax: (360) 457-1599

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Mailing Address

DIRK A. GOUGE, D.O.
1004 CAROLINE ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 457-1500
Fax: (360) 457-1599



Authorized Official

Authorized Official NameMS. DEBRA KIESSER
Authorized Official TitleCLAIMS BILLER
Authorized Official Phone(360) 457-1500

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7116429MEDICAID (05)WA
G66567MEDICARE UPIN (02)WA
GAB21034MEDICARE PIN (08)WA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548261225 KEITH J URE MD
Individual
Specialist1004 CAROLINE ST
PORT ANGELES, WA 98362
(360) 457-1500
1558453944DR. HENRY K. YEE MD
Individual
Orthopaedic Surgery1004 CAROLINE ST
PORT ANGELES, WA 98362
(360) 457-1500
1598963209OLYMPIC MEDICAL PHYSICIANS
Organization
Orthopaedic Surgery1004 CAROLINE ST
PORT ANGELES, WA 98362
(360) 457-1500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.