GAURAV GUPTA (NPI# 1366559114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366559114 |
| Entity Type | Individual |
| Full Name | GAURAV GUPTA |
| Credential | M.D. |
| Practice Address |
150 E Manning St Providence RI 02906-5109 |
| Practice Telephone | 4012722020 |
| Practice Fax Number | 4014215979 |
| Mailing Telephone | 4012722020 |
| Mailing Fax Number | 4014215979 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD12949 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NPI NUMBER | 1366559114 | 01 |
| RI | RI LICENCE NUMBER | MD12949 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336460799 | Gaurav Gupta | Student in an Organized Health Care Education/Training Program | 7717 Carlton Pl, Mc Lean, VA 22102-2152 | 2010-06-18 |
| 1154881852 | Gaurav Gupta | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2019-03-20 |
| 1760815393 | Gaurav Kumar Gupta | Pathology | 601 Elmwood Avenue, University of Rochester Medical Center, Rochester, NY 14642-0001 | 2013-08-19 |
| 1811251184 | Gaurav Gupta | Transplant Surgery | 3459 5th Ave, Upmc Montefiore, 7 South, Pittsburgh, PA 15213-3236 | 2012-07-01 |
| 1629213061 | Gaurav Gupta | Emergency Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2008-12-15 |
| 1285898312 | Gaurav Gupta | Neurological Surgery | 125 Paterson St, Cab 2102, New Brunswick, NJ 08901-1962 | 2008-07-17 |
| 1083808695 | Gaurav Gupta | Internal Medicine | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2007-08-28 |
| 1376745711 | Gaurav Gupta | Internal Medicine | 916 E Highway 67, Duncanville, TX 75137-2706 | 2007-06-05 |
| Street Address |
150 E MANNING ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109111 | Jason Edward Karo | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-10-28 |
| 1972025187 | Elizabeth Wassenaar | Optometrist | 150 E Manning St, Providence, RI 02906 | 2017-07-10 |
| 1891108940 | Jane Caty Cook | Ophthalmology | 150 E Manning St, Providence, RI 02906 | 2014-06-06 |
| 1225276678 | Sarah Anis | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2009-01-22 |
| 1285830323 | Pranjal Thakuria | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2007-06-25 |
| 1760528962 | Ophthalmology Inc | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2007-01-29 |
| 1952372815 | Christopher Jackson Newton | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2006-01-30 |
| 1255317020 | Joseph L Dowling | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| 1548246382 | Robert L Bahr | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| 1861478620 | Lori B Boivin | Optometrist | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316265259 | Melissa Ann Simon | Ophthalmology | 2 Dudley St Ste 505, Providence, RI 02905-3249 | 2010-05-16 |
| 1023268018 | Irene M Lee Md PC | Ophthalmology | 903 Providence Pl, Apartment 362, Providence, RI 02903-7000 | 2008-09-25 |
| 1548426661 | Nicholas Dushku | Ophthalmology | 338 Choke Cherry Ln, Providence, UT 84332-9513 | 2008-07-29 |
| 1174670806 | King Wai To | Ophthalmology | One Hoppin Street, Suite 202, Providence, RI 02903-4141 | 2007-01-04 |
| 1659310738 | Andrew Ginn Bong Young | Ophthalmology | 1 Hoppin St Ste 202, Providence, RI 02903-4141 | 2006-06-05 |
| 1710950142 | Philip R Rizzuto | Ophthalmology | 120 Dudly St, Suite 301, Providence, RI 02905 | 2006-02-08 |
| 1972589745 | Robert Jeffrey Hofmann | Ophthalmology | 150 East Manning St., Providence, RI 02906 | 2005-12-22 |
| 1033109111 | Jason Edward Karo | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-10-28 |
| 1538154703 | Yoash R Enzer | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2005-09-14 |
| 1467458331 | Paul B Greenberg | Ophthalmology | One Randall Square, Suite 203, Providence, RI 02904-4928 | 2005-06-24 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.