John R Gouldin

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

JOHN R GOULDIN

Practice address

904 Flindt Dr
Storm Lake, IA 50588-3204

Phone

(712) 732-2876

Fax

(712) 732-2876

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John R Gouldin, DPM

Title

DPM

Phone

(712) 732-2876

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1558533323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 FLINDT DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883204",
            "telephone_number": "712-732-2876",
            "fax_number": "712-732-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 FLINDT DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883204",
            "telephone_number": "712-732-2876",
            "fax_number": "712-732-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R GOULDIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "GOULDIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "712-732-2876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162107",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daren Michael Jaques
• Jason Dierking, MD PLLC
• Danielle Jensen, DPT
• Sarah L Jewett, DDS
• Travis Jewett
• Callie Johnson, PHARMD
• Sophia Johnson
• Jeffrey Jorgensen, PHARMD.
• JP Senior Healthcare LLC
• Rachel D Judisch, SPEECH THERAPIST

• Podiatrist in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.