DR. ERIC O GAMBOA (NPI# 1396938536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396938536 |
Entity Type | Individual |
Full Name | DR. ERIC O GAMBOA |
Credential | MD |
Practice Address |
7360 W. Deschutes Ave Kennewick WA 99336 |
Practice Telephone | 5097830144 |
Practice Fax Number | 5097838244 |
Mailing Telephone | 5097830144 |
Mailing Fax Number | 5097838244 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2011-07-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD60194697 | WA | Allopathic & Osteopathic Physicians |
Street Address |
7360 W. DESCHUTES AVE |
City | KENNEWICK |
State | WA |
Zip Code | 99336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407959851 | Mitra Rado | Nurse Practitioner | 7360 W. Deschutes Ave, Kennewick, WA 99336 | 2006-09-07 |
1922440379 | Michelle Renee Froh | Nurse Practitioner | 7360 W. Deschutes Ave, Columbia Basin Hematology and Oncology, Kennewick, WA 99336 | 2013-07-26 |
1447482765 | Marlene Jo Sanfilippo | Nurse Practitioner | 7360 W. Deschutes Ave, Kennewick, WA 99336 | 2009-08-20 |
1912131723 | Basir Ul Haque | Internal Medicine | 7360 W. Deschutes Ave, Kennewick, WA 99336 | 2009-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
Find all providers in zip 99336 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083744353 | Richard G Marquardt II | Internal Medicine | 195706 E 30th Ave, Kennewick, WA 99337-6253 | 2007-03-06 |
1649239310 | Arunbhai Patel | Internal Medicine | 7360 W Deschutes Ave, Kennewick, WA 99336 | 2006-03-21 |
1205833084 | Amer Khouri | Internal Medicine | 3730 Plaza Way Ste 6200, Kennewick, WA 99338-2718 | 2005-07-07 |
1831530799 | Nattamol Hosiriluck | Internal Medicine | 7360 W Deschutes Ave, Kennewick, WA 99336 | 2013-07-08 |
1003131640 | Rangaswamy Akhanda Chintapatla | Internal Medicine | 7360 W Deschutes Ave, Kennewick, WA 99336-7774 | 2010-04-06 |
1386875011 | Ahmad Fora | Internal Medicine | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2009-07-29 |
1912131723 | Basir Ul Haque | Internal Medicine | 7360 W. Deschutes Ave, Kennewick, WA 99336 | 2009-05-07 |
1043491293 | Ying Zhuo | Internal Medicine | 7360 W Deschutes Ave, Kennewick, WA 99336-7774 | 2007-11-15 |
1376646794 | Columbia Basin Hematology & Oncology Pllc | Internal Medicine | 7360 W Deschutes Ave, Kennewick, WA 99336-7774 | 2006-09-07 |
1598868911 | Ruben Daniel Sierra | Internal Medicine | 7350 W Deschutes Ave, Suite B103, Kennewick, WA 99336 | 2006-09-07 |
Find all providers in KENNEWICK |
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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.