DR. ALFRED CHARLES GAYMON (NPI# 1952311367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952311367 |
| Entity Type | Individual |
| Full Name | DR. ALFRED CHARLES GAYMON |
| Credential | M.D. |
| Practice Address |
4601 Dale Road Modesto CA 95356 |
| Mailing Address |
20 Mews Ln South Orange NJ 07079-1737 |
| Practice Telephone | 9736992160 |
| Practice Fax Number | 9737638158 |
| Mailing Telephone | 9737638159 |
| Mailing Fax Number | 9737638158 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G87813 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
32414 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4601 DALE ROAD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336108885 | Angela M Abe | Optometrist | 4601 Dale Road, Modesto, CA 95356 | 2006-03-22 |
| 1932459369 | Grace Ruyin Chen | Pharmacist | 4601 Dale Road, Modesto, CA 95356 | 2012-09-13 |
| 1598821084 | Paula Tucker | Social Worker | 4601 Dale Road, Modesto, CA 95356 | 2006-12-29 |
| 1679641096 | Marilyn Marie Dixon-brown | Audiologist | 4601 Dale Road, Head and Neck Surgery Audiology, Modesto, CA 95356-9209 | 2006-12-01 |
| 1881766855 | Zaia Younatan Isho | Family Medicine | 4601 Dale Road, Modesto, CA 95356 | 2006-11-15 |
| 1629149554 | Lee Kauffman | Physical Therapist | 4601 Dale Road, Modesto, CA 95356-9718 | 2006-11-13 |
| 1619048162 | Toheeda Sadiq | Pharmacist | 4601 Dale Road, Modesto, CA 95356 | 2006-11-13 |
| 1649341462 | Robert Mallory | Physical Therapist | 4601 Dale Road, Modesto, CA 95356 | 2006-11-13 |
| 1760551113 | Adrianne Eisabel Payan | Speech-Language Pathologist | 4601 Dale Road, Modesto, CA 95356-3377 | 2006-11-07 |
| 1811097512 | Scott Smith | Radiology | 4601 Dale Road, Modesto, CA 95356 | 2006-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393863 | Richard A. Cercle M.d. | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2007-02-15 |
| 1538153713 | Pardeep S Brar | Internal Medicine | 803 Coffee Rd, Suite 5, Modesto, CA 95355-4227 | 2005-09-02 |
| 1801226873 | Muhammad A Shafqet | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2013-11-12 |
| 1992067631 | Pardeep Brar M.d., Inc. | Internal Medicine | 803 Coffee Rd, Suite #5, Modesto, CA 95355-4227 | 2012-06-08 |
| 1104105030 | Tanya Hoa Dam | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2011-08-09 |
| 1871813097 | Victorio Parayno Pidlaoan | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2010-06-10 |
| 1568646826 | Advanced Sleep Disorder Center, Inc. | Internal Medicine | 4206 Technology Dr Ste 2, Modesto, CA 95356-9484 | 2007-12-21 |
| 1407052244 | Waleed Abdul Ibrahim | Internal Medicine | 1541 Florida Ave, Suite 200, Modesto, CA 95350 | 2007-06-26 |
| 1881748846 | Modesto Gastroenterology Medical Corporation | Internal Medicine | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 | 2007-01-23 |
| 1528149051 | Richard A Cercle | Internal Medicine | 1429 College Ave Ste B, Modesto, CA 95350-4046 | 2006-10-18 |
| Find all providers in MODESTO | ||||
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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.