LE ROY GURGANIOUS (NPI# 1710097290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710097290 |
| Entity Type | Individual |
| Full Name | LE ROY GURGANIOUS |
| Credential | M.D. |
| Practice Address |
108 Medical Center Blvd Suite 100 Fayetteville TN 37334-2741 |
| Practice Telephone | 9314331102 |
| Practice Fax Number | 9314330522 |
| Mailing Telephone | 9314331102 |
| Mailing Fax Number | 9314330522 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 43870 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA HMO | 2864255 | 01 |
| FL | RAILROAD MEDICARE | P00084628 | 01 |
| TN | 1508795 | 05 | |
| FL | AETNA PPO | 5261266 | 01 |
| FL | CIGNA | 8913135002 | 01 |
| Street Address |
108 MEDICAL CENTER BLVD SUITE 100 |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052408 | William A Edwards | Family Medicine | 108 Medical Center Blvd, Suite G 50, Fayetteville, TN 37334-2741 | 2006-07-27 |
| 1356895999 | Katrina Margaret Dial | Advanced Practice Midwife | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334-2741 | 2016-08-11 |
| 1053604298 | Lincoln Medical Center Obgyn Clinic | Obstetrics & Gynecology | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334-2741 | 2011-05-20 |
| 1760780688 | Lincoln Ear Nose and Throat | Otolaryngology | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2011-03-01 |
| 1760783104 | Lincoln Medical Center Orthopedic Clinic | Orthopaedic Surgery | 108 Medical Center Blvd, Suite 100, Fayetteville, TN 37334-2684 | 2010-11-16 |
| 1174824783 | Top Flight Medical Group LLC | Specialist | 108 Medical Center Blvd, Suite G25, Fayetteville, TN 37334-2741 | 2010-11-12 |
| 1578885620 | Lincoln Medical Group | Specialist | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334 | 2010-02-17 |
| 1811165616 | Lincoln Medical Center Cardiology Clinic | Specialist | 108 Medical Center Blvd, Suite 125, Fayetteville, TN 37334-2741 | 2008-02-14 |
| 1023299823 | Lincoln Medical Center Surgical Clinic | Clinic/Center | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2007-11-20 |
| 1497957237 | Lincoln Medical Center Orthopedic Clinic | Orthopaedic Surgery | 108 Medical Center Blvd, Ste 175, Fayetteville, TN 37334-2741 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123578 | Resurgens, PC | Orthopaedic Surgery | 1336 Highway 54 W Ste B, Fayetteville, GA 30214-4573 | 2017-06-07 |
| 1164700068 | Nwa Orthopaedic Consulting, Pa | Orthopaedic Surgery | 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 | 2011-07-26 |
| 1982809240 | Jason C Eck | Orthopaedic Surgery | 4140 Ferncreek Dr Ste 801, Fayetteville, NC 28314-2572 | 2007-06-18 |
| 1588876791 | Powell Orthopedics, Pa | Orthopaedic Surgery | 3714 N Business Dr Ste 101, Fayetteville, AR 72703-5289 | 2007-05-03 |
| 1316166648 | Wesley Kent Cox | Orthopaedic Surgery | 201 W. Van Asche Loop, Fayetteville, AR 72703-4999 | 2007-04-25 |
| 1073670360 | Daniel B. Judd | Orthopaedic Surgery | 0 Normandy Dr, Department of Orthopaedics, Fayetteville, NC 28307-3465 | 2007-01-03 |
| 1265465157 | Navin R Kilambi | Orthopaedic Surgery | 201 W Van Asche Loop, Fayetteville, AR 72703-4996 | 2006-07-07 |
| 1861441198 | Robert J Tomlinson Jr. | Orthopaedic Surgery | 103 N College Ave Ste 4, Fayetteville, AR 72701-5361 | 2006-05-05 |
| 1750346060 | Brett B Greenky | Orthopaedic Surgery | 4115 Medical Center Dr, Fayetteville, NY 13066-6636 | 2006-04-19 |
| 1982676292 | Maurice Lamont Goins | Orthopaedic Surgery | 1336 West Highway 54, Bldg 500, Fayetteville, GA 30214 | 2006-02-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.