Dale M Goughnour, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004705L Issued in PA

Practice address

713 Mountain Ave Ste 1
Portage, PA 15946-1756

Phone

(814) 736-5000

Fax

(814) 736-9616

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central PA Podiatry LLCGroup PAC ID 0446667224, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dale.goughnour.1@13355.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12335/brand/1/csg/1/fhir/r4
• Direct secure messaging: dale.goughnour.1@12335.direct.athenahealth.com

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.

• Central PA Podiatry LLC

  dba Central PA Physicians Group

  • Podiatrist
  • Altoona, PA
  • NPI 1841887494
  Medicare reassignment Care Compare group NPD
• Lovely Foot Associates PC

  • Podiatrist
  • Johnstown, PA
  • NPI 1346395258
  Medicare reassignment NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Memorial Medical Center

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1831267806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MOUNTAIN AVE STE 1",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461756",
            "telephone_number": "814-736-5000",
            "fax_number": "814-736-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MOUNTAIN AVE STE 1",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461756",
            "telephone_number": "814-736-5000",
            "fax_number": "814-736-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGHNOUR",
        "first_name": "DALE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004705L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "GO1304835",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032181",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "304387",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "043195",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01847551",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siarra Grace Crum
• Gerald Dietrich
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - Portage)
• Mary Jane Fleck, RPH
• Tina Freiwald, RD, LDN
• James Michael Herald, D.C.
• Thyra Ann Jacobs, MA, ATR-BC, LPC
• James Drug Store-Portage LLC
• Jost Enterprises (Maple Winds Care Center)
• Christine Jubina

• Podiatrist in Portage, PA
• Providers in Portage, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.