Active NPI
Wayne C Gould, DPM
- Foot & Ankle Surgery Podiatrist
- Dover, NH
National Provider Identifier
1467436857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0187
- Practice address
- 750 Central Ave Ste J
Dover Foot Specialty Ctr, PC
Dover, NH 03820-3434 - Phone
- (603) 742-2245
- Fax
- (603) 742-0712
- NPI assigned
- Nov 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD1015 | ME | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0187 | NH | Primary |
Addresses
Primary practice location
750 Central Ave Ste J
Dover Foot Specialty Ctr, PC
Dover, NH 03820-3434
Mailing address
750 Central Ave
Suite J
Dover, NH 03820-3434
Phone (603) 742-2245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80008271 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD1015 | ME | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Foot Specialty Center, PC | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/xCzjlohQb7LjffswhVfzHuvSjTl4Y9sP/
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Dover, NH
- NPI 1780711481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1467436857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 CENTRAL AVE",
"address_2": "SUITE J",
"city": "DOVER",
"state": "NH",
"postal_code": "038203434",
"telephone_number": "603-742-2245",
"fax_number": "603-742-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 CENTRAL AVE STE J",
"address_2": "DOVER FOOT SPECIALTY CTR, PC",
"city": "DOVER",
"state": "NH",
"postal_code": "038203434",
"telephone_number": "603-742-2245",
"fax_number": "603-742-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "WAYNE",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ME",
"license": "POD1015",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NH",
"license": "0187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80008271",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.