STEVEN R GUNDRY (NPI# 1801889050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801889050 |
| Entity Type | Individual |
| Full Name | STEVEN R GUNDRY |
| Credential | MD |
| Practice Address |
555 E Tachevah Dr 3w-103 Palm Springs CA 92262-5750 |
| Mailing Address |
Po Box 1280 Palm Springs CA 92263 |
| Practice Telephone | 7603235553 |
| Practice Fax Number | 7603235554 |
| Mailing Telephone | 7603235553 |
| Mailing Fax Number | 7603235554 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G65020 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G650200 | 05 |
| Street Address |
555 E TACHEVAH DR 3W-103 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449118 | Forgeron Physical Therapy | Physical Therapist | 555 E Tachevah Dr, 1 East #201, Palm Springs, CA 92262-5750 | 2005-07-07 |
| 1962937177 | Cherrie Bravo | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2017-04-25 |
| 1326579541 | Victoria Ryan | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Palm Springs, CA 92262-5750 | 2017-03-21 |
| 1194266460 | Anh Tuan Huu Ngo | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2017-03-20 |
| 1043687577 | Rachel Misquitta | Optometrist | 555 E Tachevah Dr, Suite 101e, Palm Springs, CA 92262-5750 | 2015-09-01 |
| 1326438078 | Ucr Family Medicine Center | Clinic/Center | 555 E Tachevah Dr, Suite 2e-107, Palm Springs, CA 92262-5750 | 2015-02-03 |
| 1861899213 | Cody Jay Tapp | Physician Assistant | 555 E Tachevah Dr, Suite 2w-203, Palm Springs, CA 92262-5750 | 2014-12-01 |
| 1164849964 | Ryan Anderson | Optometrist | 555 E Tachevah Dr, Suite 101e, Palm Springs, CA 92262-5750 | 2014-03-19 |
| 1548691025 | First Choice Physician Partners | Family Medicine | 555 E Tachevah Dr, Ste 2e # 107, Palm Springs, CA 92262-5750 | 2013-12-09 |
| 1972944189 | Murtaza Merali | Optometrist | 555 E Tachevah Dr, Suite 1e-101, Palm Springs, CA 92262-5750 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1871744151 | Zaynoun El Khoury | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr Ste E318, Palm Springs, CA 92262 | 2008-10-06 |
| 1700290723 | Walter J Erhman, Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2014-06-18 |
| 1821356742 | Premier Surgical Assoc Palm Springs Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, Suite 421, Palm Springs, CA 92262-4882 | 2012-04-28 |
| 1891805248 | Cardiothoracic Physician Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, #e318, Palm Springs, CA 92262-4800 | 2006-08-30 |
| 1194778399 | William E Ostermiller Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, Palm Springs, CA 92262-4809 | 2006-05-18 |
| 1013904424 | Saied Habibipour | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, E318, Palm Springs, CA 92262-4800 | 2005-09-30 |
| 1639161243 | Kenneth Thomas Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, Ste E205, Palm Springs, CA 92262-4800 | 2005-08-19 |
| 1053303560 | Walter J Ehrman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, E-218, Palm Springs, CA 92262-4800 | 2005-08-19 |
| 1609870153 | John W Hengesh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1180 N Indian Canyon Dr, Ste E318, Palm Springs, CA 92262-4809 | 2005-06-10 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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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.