GEORGE GAMON (NPI# 1417591116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417591116 |
Entity Type | Individual |
Full Name | GEORGE GAMON |
Credential | CPSW |
Practice Address |
224 Anthony Dr Ste B Anthony NM 88021-9366 |
Mailing Address |
Po Box 584 Chamberino NM 88027-0584 |
Practice Telephone | 5856190485 |
Mailing Telephone | 5756190485 |
Enumeration Date | 2019-11-05 |
Last Update Date | 2019-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 1011 | NM | Other Service Providers |
Street Address |
224 ANTHONY DR STE B |
City | ANTHONY |
State | NM |
Zip Code | 88021-9366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
1023524261 | Roxana Mercado | Counselor | 785 Anthony Dr, Anthony, NM 88021 | 2017-12-26 |
1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
1336558360 | Anahi Marquez | Social Worker | 92 Shrode Road, Anthony, NM 88021 | 2014-08-04 |
1649692211 | Michael Torres | Case Manager/Care Coordinator | 3150 Anthony Rd Hwy 460, Anthony, NM 88021 | 2014-01-15 |
1396167243 | Laura Ceniceros | Case Manager/Care Coordinator | 80 Dos Amigos Road, Anthony, NM 88021 | 2014-01-13 |
1174951834 | La Frontera Center Inc. Dba La Frontera New Mexico Inc | Clinic/Center | 880 N. Main St, Suite 3a, Anthony, NM 88021 | 2013-10-16 |
1689930133 | Oscar Artiaga | Public Health or Welfare | 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 | 2012-04-10 |
1609145291 | Maria R Diaz | Behavioral Analyst | 399 San Antonio St., Anthony, NM 88021 | 2011-12-28 |
Find all providers in zip 88021 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306049 | Sherri Rhoten | Peer Specialist | 5535 Rockhound Rd Se, Deming, NM 88030-8247 | 2020-08-12 |
1154942746 | Samantha Ashcroft | Peer Specialist | 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 | 2020-05-05 |
1356976674 | Amanda Abeyta | Peer Specialist | 1000 N Paseo De Onate, Espanola, NM 87532-2683 | 2020-03-06 |
1164069662 | Rachel Pyne | Peer Specialist | 205 Bertha Rd Ste B, Taos, NM 87571-5188 | 2019-12-03 |
1467094029 | Donovan Lucero | Peer Specialist | 7 Rio San Jose Dr, Laguna, NM 87026 | 2019-10-15 |
1558820043 | Gabriela C Ochoa | Peer Specialist | 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 | 2019-03-14 |
1053882795 | Mateo R Duran | Peer Specialist | 10519 Trieste Ct Nw, Albuquerque, NM 87114-5187 | 2018-12-06 |
1194229278 | Michael Townsend | Peer Specialist | 3 Cedar Rd, Algodones, NM 87001 | 2018-03-22 |
1508233594 | Jennifer Tenorio | Peer Specialist | 176 Sunrise Rd, San Felipe Pb, NM 87001-8019 | 2015-08-26 |
1295118636 | Justine Page | Peer Specialist | 19 La Mirada, Belen, NM 87002-7334 | 2015-07-02 |
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.