David Gaughan, M,D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME0060292 Issued in FL

Practice address

3512 S Atlantic Av.
Daytona Beach Shores, FL 32118

Phone

(386) 767-9544

Fax

(386) 756-0501

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184755654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PEBBLE BEACH DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743883",
            "telephone_number": "386-767-9544",
            "fax_number": "386-756-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 S ATLANTIC AV.",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "32118",
            "telephone_number": "386-767-9544",
            "fax_number": "386-756-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME0060292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Central Florida Outpatient Imaging, LLC (Radiology Associates Daytona Beach Shores)
• Elite Aesthetics, LLC (Elite Aesthetics Skin & Wellness Center)
• James Evensen, MA BCBA
• Zalika A Freeman
• Bettina Fulford, ARNP
• Gerald R Woodard DO PA (Shores Medical Center)
• Gerald R Woodard DO PA (Shores Medical Center Daytona)
• Lauren A Girard, DO
• Jamera F Givens
• Hassan Alkhatib MD PA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.