DR. DOUGLAS L GAMBURG (NPI# 1093735532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093735532 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS L GAMBURG |
| Credential | M.D. |
| Practice Address |
224 Pecan Park Ave Alexandria LA 71303-3308 |
| Practice Telephone | 3184439191 |
| Practice Fax Number | 3184439190 |
| Mailing Telephone | 3184439191 |
| Mailing Fax Number | 3184439190 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 010644 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1148148 | 05 |
| Street Address |
224 PECAN PARK AVE |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781233 | Sara E. Kelly | Emergency Medicine | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2005-09-21 |
| 1134684087 | Christopher Guy Carey | Occupational Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2019-02-05 |
| 1164962742 | Melinda S Bayonne | Occupational Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2017-03-02 |
| 1922556729 | Thomas Lloyd Dean | Physical Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2016-09-21 |
| 1811378375 | Alexandria Ambulatory Surgery Center Lp | Clinic/Center | 224 Pecan Park Ave, Suite E, Alexandria, LA 71303-3308 | 2015-06-10 |
| 1114310463 | Cardiac Cath Lab of Alexandria Lp | Clinic/Center | 224 Pecan Park Ave, Suite A, Alexandria, LA 71303-3308 | 2015-03-11 |
| 1750712618 | Physical and Occupational Therapy of Alexandria, LLC | Occupational Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2013-12-03 |
| 1093010019 | Cenla Urgent Care LLC | Family Medicine | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2011-01-23 |
| 1821260639 | Troy James | Physical Therapist | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2008-04-01 |
| 1891856779 | Orthopaedic and Sports Medicine Specialist | Durable Medical Equipment & Medical Supplies | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730636861 | Mid State Orthopaedics & Sports Medicine Center LLC | Orthopaedic Surgery | 224 Pecan Park, Suite F, Alexandria, LA 71302 | 2016-09-07 |
| 1437570975 | Joel Gregory Goldman | Orthopaedic Surgery | 2047 Blunt Lane, Alexandria, VA 22303 | 2013-12-31 |
| 1851658603 | Washington Orthopaedic Center LLC | Orthopaedic Surgery | 417 N Washington St, Alexandria, VA 22314-2311 | 2012-04-18 |
| 1306112743 | Daniel Philip Deasis | Orthopaedic Surgery | 201 4th St Ste 1d, Alexandria, LA 71301 | 2012-03-29 |
| 1235404252 | Cedric Warren Lowrey | Orthopaedic Surgery | 4506 Wellington Blvd, Alexandria, LA 71303-2513 | 2012-03-09 |
| 1649436254 | Craig Joseph Mcasey | Orthopaedic Surgery | 2501 Parkers Ln Ste 200, Alexandria, VA 22306-3209 | 2008-08-03 |
| 1013119007 | Terence James Kennedy | Orthopaedic Surgery | 733 W Latoka Dr Sw, Alexandria, MN 56308-9376 | 2007-06-03 |
| 1114063435 | Brian O Stephens | Orthopaedic Surgery | 106 N Lee St Ste 200, Alexandria, VA 22314 | 2007-01-30 |
| 1386667350 | Orthovirginia, Inc | Orthopaedic Surgery | 2805 Duke St, Alexandria, VA 22314-4512 | 2006-07-25 |
| 1821062670 | Michael Elden Brunet | Orthopaedic Surgery | 3351 Masonic Dr, Alexandria, LA 71301-3842 | 2006-02-16 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.