THOMAS GAUGHAN - NPI 1053948406 - Student in an Organized Health Care Education/Training Program in Lexington, KY

Q: What is Thomas Gaughan's NPI number?

The NPI number for Thomas Gaughan is 1053948406. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Thomas Gaughan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gaughan was last updated on August 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Thomas Gaughan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS GAUGHAN (NPI 1053948406) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2020).

NPPES Registry Identity

NPI1053948406

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTHOMAS GAUGHAN

Location Address800 ROSE ST RM C-368Lexington, KY 40536-0293

Mailing Address800 Rose St Rm C-368Lexington, KY 40536-0293 · (859) 218-1661 · Fax (859) 257-7167

Phone(859) 218-1661

Fax(859) 257-7167

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2020

Enumeration DateMarch 25, 2020

Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration

NPPES CertifiedMarch 25, 2020

✔ NPI 1053948406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 ROSE ST RM C-368, Lexington, KY 40536

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Gaughan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062955297

PECOS Enrollment IDI20240617001951

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY CATHERINE THOMSON MD

Student in an Organized Health Care Education/Training Program