STORMIE RAE GOUGH DO
NPI 1164045209
Pediatrics in Allentown, PA

Q: What is Stormie Gough's NPI number?

The NPI number for Stormie Gough is 1164045209. It was assigned to this individual provider in the NPPES registry on May 23, 2020. The provider is also known as Stormie Rae Wagner.

Q: What is Stormie Gough's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Stormie Gough was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2020PECOS Enrolled

1200 S CEDAR CREST BLVD FL 6, ALLENTOWN, PA 18103(610) 402-7712 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, May 23, 2020 (2 updates tracked since 2020).

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About Stormie Rae Gough Do NPPES

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

STORMIE RAE GOUGH DO (NPI 1164045209) is an individual pediatrics provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS022997) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164045209

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSTORMIE RAE GOUGHCredential: DO

Location Address1200 S CEDAR CREST BLVD FL 6Allentown, PA 18103-6202

Mailing Address1200 S Cedar Crest BlvdAllentown, PA 18103-6202

Phone(610) 402-7712

Sole ProprietorNo

Enumeration DateMay 23, 2020

Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1164045209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · OS022997✔ Licensed in PA · OT020219

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License OS022997 (PA)

1200 S CEDAR CREST BLVD FL 6, Allentown, PA 18103

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Other Names 1

Former Name (1)Stormie Rae Wagner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stormie Rae Gough Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DANIEL HELMUT UBLAGGER MD

Pediatrics

1200 S CEDAR CREST BLVD FL 6
ALLENTOWN, PA 18103

Lehigh County (610) 402-7712

ESTHER BOOTH MD

Student in an Organized Health Care Education/Training Program

1200 S CEDAR CREST BLVD FL 6
ALLENTOWN, PA 18103

Lehigh County (973) 841-9627

CHINASA EKEANYANWU MD

Pediatrics

1200 S CEDAR CREST BLVD FL 6
ALLENTOWN, PA 18103

Lehigh County (610) 402-7712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stormie Gough's NPI number?

The NPI number for Stormie Gough is 1164045209. It was assigned to this individual provider in the NPPES registry on May 23, 2020. The provider is also known as Stormie Rae Wagner.

Where is Stormie Gough located?

Stormie Gough practices at 1200 S Cedar Crest Blvd Fl 6, Allentown, PA 18103. The listed phone number is (610) 402-7712.

What is Stormie Gough's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stormie Gough enrolled in Medicare?

Yes. Stormie Gough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stormie Gough was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.