Madeline Maya Gougeon, LICENSED ORTHOTIST

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

1995 Issued in TX

Practice address

Hope Orthotics, LLC - Attn: Maya Gougeon, Lo
230 Spring Hill Drive, Suite 335
Spring, TX 77386-2388

Phone

(877) 297-8999

Fax

(877) 206-0482

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Spring, TX
  • NPI 1487652749

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1669034831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOPE ORTHOTICS, LLC - ATTN: MAYA GOUGEON, LO",
            "address_2": "230 SPRING HILL DRIVE, SUITE 335",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862388",
            "telephone_number": "877-297-8999",
            "fax_number": "877-206-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOPE ORTHOTICS, LLC - ATTN: MAYA GOUGEON, LO",
            "address_2": "230 SPRING HILL DRIVE, SUITE 335",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862388",
            "telephone_number": "877-297-8999",
            "fax_number": "877-206-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGEON",
        "first_name": "MADELINE",
        "middle_name": "MAYA",
        "credential": "LICENSED ORTHOTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ORTHOTIST",
            "identifier": "1995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordian Medical II, Inc.
• Joshua C Gorman, D.D.S.
• Sushma V Gorrela, M.D.
• Danette M Gosha, LMT
• Katlynn Renee Gosserand-Gibson
• Robyn Gould, LCSW
• Stephanie Gourgues
• Tamara Goveo, M.S, CCC-SLP
• Grace Alpha Focused Care LLC
• Grace Anchored Inc

• Orthotist in Spring, TX
• Providers in Spring, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.