Stormie Rae Gough, DO
NPI 1164045209ActiveIndividual· Pediatrics· Allentown, PA
Pediatrics (DO) in Allentown, Pennsylvania, licensed in PA, with an NPI issued in May 2020. Enrolled in Medicare as practitioner - hospitalist.
Overview
| NPI | 1164045209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 23, 2020 |
| Last updated in NPPES | Aug 10, 2023 |
| Certified by provider | Aug 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | OS022997 | PA |
| Pediatrics | 208000000X | OT020219 | PA |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | OS022997 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (PA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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