LORI ANN GOUGH ST JOHN
NPI 1194072140
Physician Assistant - Medical in New York, NY
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About LORI ST JOHN
This page provides the complete NPI Profile along with additional information for Lori St John, a primary care provider established in New York, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1194072140 assigned on August 2012. The practitioner's primary taxonomy code is 363AM0700X with license number 015846 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1194072140 Verify this NPI
- Provider Name
- LORI ANN GOUGH ST JOHN
- Other Name
- LORI GOUGH
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 525 E 68TH ST NEW YORK, NY 10065
- Location Phone
- (212) 746-5454
- Mailing Address
- 525 E 68TH ST NEW YORK, NY 10065
- Mailing Phone
- (212) 746-5454
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-09-2012
- Last Update Date
- 03-20-2025
- Code Navigator
A primary care provider (PCP) like Lori St John sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 015846
- License State
- NY
Medicare Participation & PECOS Enrollment Status
Lori St John is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW YORK, NY 10065
NEW YORK, NY 10065
NEW YORK, NY 10065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194072140, enumerated as an "individual" on August 09, 2012.
The provider is located at 525 E 68TH ST NEW YORK, NY 10065 and the phone number is (212) 746-5454.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
