Jared Douglas Gouge
Jared Douglas Gouge is a Certified Registered Nurse Anesthetist (CRNA) in Old Fort, North Carolina. Qualified in 2019, 7 years ago. Practices with East Carolina Anesthesia Associates PLLC, a 680-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 7
- Licensed in
- NC
- In the registry since
- 2019
Practice location Address checks out
249 Laurel Ridge DrOld Fort, NC 28762-9712
Phone: (828) 442-9429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 233191 (NC) |
|---|
Record details
| NPI number | 1053878603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2019 |
| Last updated in NPPES | March 1, 2019 |
| Mailing address | 249 Laurel Ridge Dr, Old Fort, NC 28762-9712 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | East Carolina Anesthesia Associates Pllc — 680 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Old Fort
-
Shawn Kudrik Costanzo, RN
62 Denver Ridge Rd, Old Fort, NC 28762-9785 · (828) 779-2269
-
Brandy Ann Jarrett Calvert, PMHNP
38 Big Buck Trl, Old Fort, NC 28762-6802 · (716) 481-5289