DR. RICHARD GAMUAC (NPI# 1174576037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174576037 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GAMUAC |
| Credential | M.D. |
| Practice Address |
1619 N Greenwood St Suite 402 Pueblo CO 81003-2644 |
| Practice Telephone | 7195957760 |
| Practice Fax Number | 7195957765 |
| Mailing Telephone | 7195957760 |
| Mailing Fax Number | 7195957765 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
37964 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 70381348 | 05 |
| Street Address |
1619 N GREENWOOD ST SUITE 402 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206311 | Radiology Associates | Specialist | 1619 N Greenwood St, Suite 100, Pueblo, CO 81003-2644 | 2005-09-22 |
| 1437600608 | Diana Karnilaw | Nurse Practitioner | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2016-10-21 |
| 1629451091 | Rachel R Buck | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2015-07-03 |
| 1861808750 | Jamie Kathryn Rendler | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2014-07-11 |
| 1104181148 | Eric Andrew Lewis | Podiatrist | 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 | 2012-07-05 |
| 1144510660 | Sarah Elizabeth Bryant | Pediatrics | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2011-04-18 |
| 1043442791 | Steven Nafziger | Family Medicine | 1619 N Greenwood St, Suite 204, Pueblo, CO 81003-2644 | 2009-08-13 |
| 1841421344 | David Abbott | Radiology | 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 | 2009-07-31 |
| 1891923033 | Mark Edward Maurer | Podiatrist | 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 | 2009-06-25 |
| 1346400413 | Elizabeth Ehrhardt Md Prof LLC | Pediatrics | 1619 N Greenwood St, Ste 400, Pueblo, CO 81003-2644 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063604874 | Ashakiran J. Sunku, M.d., LLC | Psychiatry & Neurology | 1600 N Grand Ave, Suite: 110, Pueblo, CO 81003-2700 | 2007-08-15 |
| 1174603005 | Ashakiran J Sunku | Psychiatry & Neurology | 1600 N Grand Ave, Suite: 110, Pueblo, CO 81003-2700 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275899577 | Pinar Polat | Psychiatry & Neurology | 13123 E 16th Ave Fl 3, Aurora, CO 80045-7106 | 2012-04-11 |
| 1043519713 | Jan Martin | Psychiatry & Neurology | 13123 E 16th Ave, B155, Children Hospital Colorado, Aurora, CO 80045-7201 | 2011-03-21 |
| 1043374440 | Elizabeth Biller Dubow | Psychiatry & Neurology | 13123 E 16th Ave # B-155, Aurora, CO 80045-7106 | 2006-12-20 |
| 1073907457 | Ryan Kammeyer | Psychiatry & Neurology | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2015-03-24 |
| 1497173249 | Elizabeth T Troy | Psychiatry & Neurology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2014-03-30 |
| 1851633283 | Lauren Lynnea Jansons Treat | Psychiatry & Neurology | 13123 E 16th Ave # B155, Aurora, CO 80045-7106 | 2013-03-24 |
| 1528300092 | Timothy Michael Luebbert | Psychiatry & Neurology | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2013-03-22 |
| 1699031039 | Melissa Adrianne Wright | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045 | 2012-04-10 |
| 1013206036 | Joshua J Bear | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2011-03-30 |
| 1528367281 | Margot Nagan | Psychiatry & Neurology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2011-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RICHARD GAMUAC.
| 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.