Active NPI
Gordon Thames Couch, M.D.
- Gynecology Physician
- Pensacola, FL
National Provider Identifier
1457534166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME0013562
- Practice address
- 4900 Bayou Blvd
Suite 104
Pensacola, FL 32503-2525 - Phone
- (850) 477-2330
- Fax
- (850) 484-8733
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME0013562 | FL | Primary |
Addresses
Primary practice location
4900 Bayou Blvd
Suite 104
Pensacola, FL 32503-2525
Mailing address
4900 Bayou Blvd
Suite 104
Pensacola, FL 32503-2525
Phone (850) 477-2330
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 |
|---|---|---|---|
| ME0013562 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1457534166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 BAYOU BLVD",
"address_2": "SUITE 104",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032525",
"telephone_number": "850-477-2330",
"fax_number": "850-484-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BAYOU BLVD",
"address_2": "SUITE 104",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032525",
"telephone_number": "850-477-2330",
"fax_number": "850-484-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "GORDON",
"middle_name": "THAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME0013562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.