MICHAEL GUMPERT (NPI# 1467019398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467019398 |
| Entity Type | Individual |
| Full Name | MICHAEL GUMPERT |
| Credential | PA |
| Practice Address |
35 Campbell Ave Sw Apt 215 Roanoke VA 24011-1335 |
| Practice Telephone | 7604681475 |
| Mailing Telephone | 7604681475 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
35 CAMPBELL AVE SW APT 215 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24011-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578009346 | Debra Jean Massaro | Nurse Practitioner | 123 Sesame St., Roanoke, VA 24011 | 2017-01-17 |
| 1568405884 | Jilda Edean Long | Optometrist | 22 Campbell Ave Se, Roanoke, VA 24011 | 2006-06-14 |
| 1558415117 | Total Action Against Poverty | Voluntary or Charitable | 145 Campbell Ave Sw, Suite 601, Roanoke, VA 24011-1211 | 2007-01-22 |
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1700070083 | Long Sight, PC | Clinic/Center | 22 Campbell Ave Se, Roanoke, VA 24011-1404 | 2007-08-30 |
| 1679717151 | Blue Ridge Behavioral Healthcare | Community/Behavioral Health | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-04-28 |
| 1679717854 | Monique Deberry Worrell | Social Worker | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-05-01 |
| 1265523211 | City of Roanoke | Clinic/Center | 120 Kirk Ave Sw, Roanoke, VA 24011-1602 | 2006-09-27 |
| 1386892362 | Tennille Alycee Smelcer | Nurse Practitioner | 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700 | 2008-09-03 |
| 1447206370 | Carilion Healthcare Corporation | Clinic/Center | 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 | 2006-05-25 |
| Find all providers in zip 24011 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
| 1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
| 1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
| 1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
| 1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
| 1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
| 1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
| 1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
| 1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
| 1548469851 | Jose E Sanchez Norat | Military Health Care Provider | 2909 Mimosa Ct, Virginia Beach, VA 23453-7053 | 2007-07-16 |
| 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.