Charles Frost Gould II, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0101046045 Issued in VA

Practice address

7702 E Parham Rd
Mob III Suite 102
Richmond, VA 23294-4371

Phone

(804) 346-1612

Fax

(804) 346-1536

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: charlesgould@richmondveincenter.ssdirect.aprima.com

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1326078874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 E PARHAM RD",
            "address_2": "MOB III SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944371",
            "telephone_number": "804-346-1612",
            "fax_number": "804-346-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E PARHAM RD",
            "address_2": "MOB III SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944371",
            "telephone_number": "804-346-1612",
            "fax_number": "804-346-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CHARLES",
        "middle_name": "FROST",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101046045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7312865",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyne Goudreau, M.D.
• Katherine Gouger
• Meagan Gough, PTA
• Ruth Rebecca Gough
• Brittany Gould, PSY.D.
• Dallin Russell Gould
• David W Gould III, M.D.
• Daria Gound
• Eugene Gourley, PH.D.
• Suzanne Gourley, MSW

• Vascular Surgery Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.