Mary A. Gumbo (NPI# 1962928861, PAC ID# 6800129982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962928861 |
| PAC ID by PECOS | 6800129982 |
| Professional Enrollment ID | I20190604002224 |
| Full Name | Mary A. Gumbo |
| Organization Legal Name | ENVISION PHYSICIAN SERVICES LLC |
| Address |
1818 S Union Ave Suite 1a Tacoma WA 98405-1953 |
| Phone Number | 2062120977 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507175213 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 | 2062120977 | ENVISION PHYSICIAN SERVICES LLC |
| Organization Legal Name | ENVISION PHYSICIAN SERVICES LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Kaufman Scher | Nurse Practitioner | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| David D Poor | Family Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Brittany Pauline Collier | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Sandra J Kennedy | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Lisa Miconi-correa | Nurse Practitioner | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Michael D Woolman | Family Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Marie Glasgow | Nurse Practitioner | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| Melissa Ginsburg | Nurse Practitioner | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| Elary V Johnson | Physician Assistant | Envision Physician Services LLC | 2950 Professional Pl, Suite 201, Colorado Springs, CO 80904-8106 |
| Stephen R Tucker | Internal Medicine | Envision Physician Services LLC | 1345 W 1600, Orem, UT 84057-2431 |
| Street Address |
1818 S UNION AVE SUITE 1A |
| City | TACOMA |
| State | WA |
| Zip | 98405-1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith M Reagan | Physical Therapy | Achieve Rehabilitation Inc | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 |
| Carmen Marie Bemiller | Qualified Speech Language Pathologist | Achieve Rehabilitation Inc | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 |
| Brittany Pauline Collier | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Laural J Schaberg | Nurse Practitioner | 1818 S Union Ave, 2a, Tacoma, WA 98405-1953 | |
| Jaisimha K Iyengar | Pain Management | 1818 S Union Ave, 1a, Tacoma, WA 98405-1953 | |
| Sandra J Kennedy | Nurse Practitioner | Envision Physician Services LLC | 1818 S Union Ave, Suite 1a, Tacoma, WA 98405-1953 |
| Hiroko Yaguchi | Physical Therapy | Achieve Rehabilitation Inc | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 |
| Sheila K Settle | Physical Therapy | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | |
| Kevin S Kennedy | Otolaryngology | 1818 S Union Ave, Suite 2c, Tacoma, WA 98405-1953 | |
| Becky J Prideaux-blodgett | Nurse Practitioner | 1818 S Union Ave, Suite 2a, Tacoma, WA 98405-1953 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Cunningham | Nurse Practitioner | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Michael W Chandler | Anesthesiology | Tacoma Anesthesia Associates Inc Ps | 3111 S L St, Tacoma, WA 98405 |
| Stephen B Hillis | Family Medicine | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Klaus D Mergener | Gastroenterology | Washington Gastroenterology Pllc | 315 Mlk Jr Way, Tacoma, WA 98405 |
| Gerald W Anderson | General Surgery | 315 Mlk Jr Way, Tacoma, WA 98405 | |
| John Daniel Wanwig | Psychiatry | 4050 S 19th St, Suite 200, Tacoma, WA 98405-0001 | |
| Alice Phuong Nguyen | Optometry | 1965 S Union Ave, Tacoma, WA 98405-1017 | |
| Neil Partain | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Richard M Bradford | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Ugochukwu Uwaoma | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Find all physicians in zip 98405 | |||
| City | TACOMA |
| Zip Code | 98405 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TACOMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary A. Gumbo.
| 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.