MR. JOHN THOMAS GOTTSCHALK PA-C
NPI 1801032461
Physician Assistant in Fort Campbell, KY

Q: What is John Gottschalk's NPI number?

The NPI number for John Gottschalk is 1801032461. It was assigned to this individual provider in the NPPES registry on December 31, 2008.

Q: What is John Gottschalk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Gottschalk was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 31, 2008

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 412-0742 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 2, 2023, Aug 7, 2018 (2 updates tracked since 2018).

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About Mr. John Thomas Gottschalk Pa-c NPPES

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

MR. JOHN THOMAS GOTTSCHALK PA-C (NPI 1801032461) is an individual physician assistant in Fort Campbell, Kentucky, licensed in Tennessee (PA2902) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1801032461

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOHN THOMAS GOTTSCHALKCredential: PA-C

Location Address650 JOEL DRFort Campbell, KY 42223

Mailing Address312 Brigg DrClarksville, TN 37043-7998 · (214) 680-8161

Phone(270) 412-0742

Sole ProprietorNo

Enumeration DateDecember 31, 2008

Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1801032461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · PA2902✔ Licensed in KY · PA2234

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

650 JOEL DR, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 20

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

LISA RENEE CORDELL RN

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