Individual provider Active NPI

Wayne C Gould, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dover, NH
National Provider Identifier
1467436857
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0187 Issued in NH
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

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80008271MedicaidNH

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

LicenseStateTypeSpecialty
POD1015MEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Foot Specialty Center, PC Foot & Ankle Surgery PastSince Jun 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.