DR. ELLEN CELESTE GAUGHAN MD NPI 1366448599

NPI Information

NPI: 1366448599
Provider Name: DR. ELLEN CELESTE GAUGHAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
159 MARGARET STREET
SUITE 500
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 566-8603
Get Directions

DR. Ellen Celeste Gaughan, MD is a neurology psychiatry neurology in Plattsburgh, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Ellen Celeste Gaughan, MD NPI is 1366448599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

159 MARGARET STREET
SUITE 500
PLATTSBURGH, NY
ZIP 12901-874
Phone: (518) 566-8603
Fax: (518) 566-8582

The NPI 1366448599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 11/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	213308	NEW YORK	Yes
2	208VP0000X	Pain Medicine	Pain Medicine	213308	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G76133	MEDICARE UPIN	NEW YORK
2	141826450	OTHER	NEW YORK	TRICARE
3	141826450	OTHER	NEW YORK	UNITED HEALTHCARE
4	130023170	OTHER	NEW YORK	RAILROAD MEDICARE
5	698338	OTHER	NEW YORK	MVP
6	110639300	OTHER	NEW YORK	US DEPT OF LABOR
7	01998998	MEDICAID	NEW YORK
8	P010213308	OTHER	NEW YORK	BC OF UTICA WATERTOWN
9	000495471003	OTHER	NEW YORK	BLUE SHIELD OF NENY
10	8C1231	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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