William M Goumas MD PC
Organization Active NPI Specialist · Aberdeen, SD
NPI 1992899322 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992899322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 4691 (SD)
- Legal business name
- WILLIAM M GOUMAS MD PC
- Practice address
- 103 15TH Ave NE
Aberdeen, SD 57401 - Phone
- (605) 225-0614
- Fax
- (605) 226-2692
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathryn Olore Goumas
- Title
- Office Manager
- Phone
- (605) 225-0614
Practitioners 1
-
William M. Goumas, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 4691 | SD | Yes |
Addresses
Primary practice location
103 15TH Ave NE
Aberdeen, SD 57401
Mailing address
103 15TH Ave NE
Aberdeen, SD 57401
Phone (605) 225-0614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301702 | Medicaid | SD |
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.