John Gamble Iii (NPI# 1174528111, PAC ID# 8123932241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174528111 |
| PAC ID by PECOS | 8123932241 |
| Professional Enrollment ID | I20080306000683 |
| Full Name | John Gamble Iii |
| Organization Legal Name | CITIZENS MEMORIAL HOSPITAL DISTRICT |
| Address |
1500 N Oakland Ave Bolivar MO 65613-3011 |
| Phone Number | 4173266000 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2769574433 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260195 | CITIZENS MEMORIAL HOSPITAL |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| 260040 | COX MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 4173266000 | CITIZENS MEMORIAL HOSPITAL DISTRICT |
| 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 4173286631 | CITIZENS MEMORIAL HEALTHCARE |
| Organization Legal Name | CITIZENS MEMORIAL HOSPITAL DISTRICT |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan P Etheridge | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Darrel L Robbins | Certified Registered Nurse Anesthetist (crna) | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Megan A Carter | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Ryan M Clark | Certified Registered Nurse Anesthetist (crna) | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Jason L Brooks | Certified Registered Nurse Anesthetist (crna) | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| James M Obermeyer | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| John J Willis | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Shane A Severns | Certified Registered Nurse Anesthetist (crna) | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Joseph D Horner | Diagnostic Radiology | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Anthony A Cauchi | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Street Address |
1500 N OAKLAND AVE |
| City | BOLIVAR |
| State | MO |
| Zip | 65613-3011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Jarek | Rheumatology | Citizens Memorial Healthcare | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Ashley M Lane | Obstetrics/gynecology | Citizens Memorial Healthcare | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Kyla Inman | Nurse Practitioner | Citizens Memorial Healthcare | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Jonathan P Etheridge | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Troy D Morrison | Orthopedic Surgery | Citizens Memorial Healthcare | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Darrel L Robbins | Certified Registered Nurse Anesthetist (crna) | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Kaylee J Ankrom | Nurse Practitioner | Citizens Memorial Healthcare | 1500 N Oakland Ave, Cmh Diabetes, Bolivar, MO 65613-3099 |
| Megan A Carter | Emergency Medicine | Citizens Memorial Hospital District | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Brian A Guhl | Internal Medicine | Citizens Memorial Healthcare | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| John F Best | Cardiovascular Disease (cardiology) | Citizens Memorial Healthcare | 1500 N Oakland Ave, Bolivar, MO 65613-3011 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia B Mcqueary | Psychologist, Clinical | 201 S Killingsworth, Bolivar, MO 65613-0963 | |
| Kristine T Grbac-schomaker | Qualified Audiologist | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 | |
| Jordan D Buckley | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
| Megan A Miller | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
| John T Tweedie | Chiropractic | 211 N Main Ave, Bolivar, MO 65613-1519 | |
| William Jansen Vanhoornbeek | Physical Therapy | 1028 W Broadway St, Suite A, Bolivar, MO 65613-1809 | |
| Wanita D Lister | Nurse Practitioner | 1317 W Broadway St, Bolivar, MO 65613-1814 | |
| Jerald D Forsyth | Clinical Psychologist | 404 E Broadway, Bolivar, MO 65613-2019 | |
| Brian G Hackleman | Chiropractic | 341 S Springfield Ave, Bolivar, MO 65613-2040 | |
| Erin E Genua | Optometry | Bolivar Vision, LLC | 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 |
| Find all physicians in zip 65613 | |||
| City | BOLIVAR |
| Zip Code | 65613 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BOLIVAR + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John Gamble Iii.
| 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.