Dr. Dale M Goughnour is a Portage, Pennsylvania based male podiatrist with 24 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Dale M Goughnour for Podiatry is SC004705L in Pennsylvania. Dr. Dale M Goughnour is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Dale M Goughnour speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
24+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
220 Main St. Ste 100, Portage, Pennsylvania, 15946-1119
Phone:
814-736-5000
Fax:
814-736-9616
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8325002702
Enrollment ID:
I20041116000269
NPI Number:
1831267806
NPI Enumeration Date:
30 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dale M Goughnour are as mentioned below.
License Number
Specialization
State
Status
SC004705L
Podiatry
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dale M Goughnour such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GO1304835
Other
Palau
HIGHMARK
304387
Other
Pennsylvania
UPMC
043195
Other
Pennsylvania
UMWA
01847551
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
220 Main St Ste 100, Portage, Pennsylvania
Zip:
15946-1119
Phone Number:
814-736-5000
Fax Number:
814-736-9616
Patients can reach Dr. Dale M Goughnour at 220 Main St. Ste 100, Portage, Pennsylvania or can call to book an appointment on 814-736-5000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.