Active NPI
Richard Raymond Gould, MD
- Surgery Physician
- Federal Way, WA
National Provider Identifier
1366419103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00049150
- Practice address
- 34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708 - Phone
- (253) 927-1800
- Fax
- (253) 952-3025
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7155 | MT | |
| Surgery Physician | 208600000X | MD00049150 | WA | Primary |
Addresses
Primary practice location
34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708
Mailing address
34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708
Phone (253) 927-1800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0265481 | Other | WA | STATE L&I |
| 0103012 | Medicaid | MT | |
| 0229088 | Other | WA | STATE L&I |
| 0228752 | Other | WA | STATE L&I |
| 0228753 | Other | WA | STATE L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7155 | MT | MD | Surgery Physician |
| MD00049150 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Past | Accepting new patients | |
| Surgical Solutions of Southwest Montana PC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Butte, MT
- NPI 1275636524
-
- Neurological Surgery Physician
- Federal Way, WA
- NPI 1386857530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1366419103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34509 9TH AVE S STE 204",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038708",
"telephone_number": "253-927-1800",
"fax_number": "253-952-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34509 9TH AVE S STE 204",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038708",
"telephone_number": "253-927-1800",
"fax_number": "253-952-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "RICHARD",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "7155",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00049150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0265481",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103012",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0229088",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0228752",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0228753",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.