Individual provider Active NPI

Gordon Thames Couch, M.D.

  • Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1457534166
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME0013562 Issued in FL
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

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ME0013562FLMDGynecology 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.

Verify at the official NPI Registry.