SHAMARICK GASTON BLUE (NPI# 1255506341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255506341 |
| Entity Type | Individual |
| Full Name | SHAMARICK GASTON BLUE |
| Credential | M.D. |
| Practice Address |
409 N 6th St Longview TX 75601-6536 |
| Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
| Practice Telephone | 9033155520 |
| Practice Fax Number | 9036636371 |
| Mailing Telephone | 9033154119 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2014-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
P7395 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 001013 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
409 N 6TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093742835 | Robert Clifford Hall | Physical Therapist | 409 N 6th St, Longview, TX 75601-6536 | 2006-06-27 |
| 1306063490 | Longview Specialty Physicians | Durable Medical Equipment & Medical Supplies | 409 N 6th St, Longview, TX 75601-6536 | 2007-04-19 |
| 1568493757 | John Russell Roberts | Physician Assistant | 409 N 6th St, Longview, TX 75601-6536 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225199532 | Michael Meschke | Preventive Medicine | 220 Hunters Cir, Longview, TX 75605-7473 | 2006-12-12 |
| 1861559304 | Brian P. Fawcett | Preventive Medicine | 1405 Delaware St, Longview, WA 98632-2326 | 2007-01-03 |
| 1538259619 | James Ira Joubert II | Preventive Medicine | 1615 Delaware St, Box 3002, Longview, WA 98632-2367 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588226922 | Richard Havel | Preventive Medicine | 1514 Diane Dr, San Antonio, TX 78220-4838 | 2019-07-06 |
| 1124579727 | U.S. Healthworks Medical Group of Texas, Inc. | Preventive Medicine | 17410 Nw Fwy, Jersey Village, TX 77040-1002 | 2016-10-18 |
| 1063963650 | U.S. Healthworks Medical Group of Texas, Inc. | Preventive Medicine | 1414 S Loop W, Suite 200, Houston, TX 77054-3825 | 2016-10-18 |
| 1770034365 | U.S. Healthworks Medical Group of Texas, Inc. | Preventive Medicine | 9200 Hempstead Rd, Suite 137, Houston, TX 77008-6052 | 2016-10-18 |
| 1982155669 | U.S. Healthworks Medical Group of Texas, Inc. | Preventive Medicine | 1837 W Frankford Rd, Suite 116, Carrollton, TX 75007-4641 | 2016-10-18 |
| 1386095008 | Brian Bennett | Preventive Medicine | 8600 Gosling Rd, The Woodlands, TX 77381-4845 | 2016-06-23 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134508914 | Everett Arthur Bolz | Preventive Medicine | 5710 W. Hausman Rd. Suite 105, Gtw Consultants & Associates, San Antonio, TX 78249-1646 | 2015-05-26 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1598008898 | Steven E Lerman | Preventive Medicine | 12424 Greenspoint Dr, Houston, TX 77060-1902 | 2013-04-04 |
| Find all providers with the same taxonomy | ||||
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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.