Larry Kyle Gambrell (NPI# 1275621963, PAC ID# 5799783031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1275621963 |
| PAC ID by PECOS | 5799783031 |
| Professional Enrollment ID | I20160422001922 |
| Full Name | Larry Kyle Gambrell |
| Organization Legal Name | MARK S. ROBERTSON, P.C. |
| Address |
950 29th Ave Sw Albany OR 97321-3415 |
| Phone Number | 5419670404 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2001 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7012915333 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381314 | SAMARITAN PACIFIC COMMUNITY HOSPITAL |
| 381323 | SAMARITAN LEBANON COMMUNITY HOSPITAL |
| 380022 | SAMARITAN ALBANY GENERAL HOSPITAL |
| 381302 | SAMARITAN NORTH LINCOLN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 29th Ave Sw, Albany, OR 97321-3415 | 5419670404 | MARK S. ROBERTSON, P.C. |
| Organization Legal Name | MARK S. ROBERTSON, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Robertson | Otolaryngology | Mark S. Robertson, P.C. | 950 29th Ave Sw, Albany, OR 97321-3415 |
| Street Address |
950 29TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip | 97321-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Robertson | Otolaryngology | Mark S. Robertson, P.C. | 950 29th Ave Sw, Albany, OR 97321-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gale A Smolen | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Ronald Richard Ryden | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jon D Sobotka | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James B Newman | Nurse Practitioner | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Robert F Vandiver | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Sean Phillip Becker | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Leonard K Jones | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jay L Wung | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Michelle L Hastings | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James E Clay | Clinical Psychologist | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Find all physicians in zip 97321 | |||
| City | ALBANY |
| Zip Code | 97321 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ALBANY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Larry Kyle Gambrell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.