NPIMap

Individual provider Active NPI

Andrew Robert Gough, D.O.

  • Emergency Medicine Physician
  • Aberdeen, SD
National Provider Identifier
1003127903
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9142 Issued in SD
Practice address
2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone
(605) 626-4200
Fax
(605) 626-4201
NPI assigned
Jun 24, 2010
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9142 SD Primary

Addresses

Primary practice location

2905 3Rd Ave SE
Aberdeen, SD 57401-5420

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141106002257 SD Practitioner - Emergency Medicine 2466605878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Sanford Health Network CurrentSince Jul 26, 2014 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 1, 2021 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 1, 2021 Accepting new patients
Sanford Health Network Current Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Aug 1, 2025 Accepting new patients
Sanford Health Network CurrentSince Jul 26, 2014 Accepting new patients
Monument Health Network, Inc. Emergency Medicine CurrentSince Jun 21, 2022 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Aug 1, 2025 Accepting new patients
Sacred Heart Health Services Current Accepting new patients

Locations

2905 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 226-5500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1003127903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 3RD AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015420",
            "telephone_number": "605-626-4200",
            "fax_number": "605-626-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "9142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.