Organization Active NPI

Gordon T Couch MD

  • Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1699868711
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
Legal business name
GORDON T COUCH MD
Practice address
4900 Bayou Blvd
Ste 104
Pensacola, FL 32503-2533
Phone
(850) 477-2330
Fax
(850) 484-8733
NPI assigned
Oct 2, 2006
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Mr. Gordon Thames Couch, MDNPI 1457534166
Title
Physician
Phone
(850) 477-2330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME0013562 FL Primary

Addresses

Primary practice location

4900 Bayou Blvd
Ste 104
Pensacola, FL 32503-2533

Mailing address

4900 Bayou Blvd
Ste 104
Pensacola, FL 32503-2533
Phone (850) 477-2330

Other identifiers 1

IdentifierTypeStateIssuer
17215OtherBCBS

National Provider Directory

National Provider Directory

Locations

4900 Bayou Blvd
Ste 104
Pensacola, FL 32503
Phone (850) 477-2330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1699868711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BAYOU BLVD",
            "address_2": "STE 104",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032533",
            "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": "STE 104",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032533",
            "telephone_number": "850-477-2330",
            "fax_number": "850-484-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON T COUCH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "THAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-477-2330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME0013562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17215",
            "state": null
        }
    ],
    "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.