STEVEN J GAMBURG (NPI# 1063485407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063485407 |
| Entity Type | Individual |
| Full Name | STEVEN J GAMBURG |
| Credential | MD |
| Practice Address |
255 West Lancaster Avenue Paoli PA 19301 |
| Mailing Address |
Po Box 3012 Wilmington DE 19804 |
| Practice Telephone | 6106481043 |
| Mailing Telephone | 8004564629 |
| Mailing Fax Number | 3022242848 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD034880E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010708500004 | 05 |
| Street Address |
255 WEST LANCASTER AVENUE |
| City | PAOLI |
| State | PA |
| Zip Code | 19301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578535522 | Mitchell S Drake | Emergency Medicine | 255 West Lancaster Avenue, Paoli, PA 19301 | 2006-02-03 |
| 1528597986 | Jennifer Foster | Nurse Practitioner | 255 West Lancaster Avenue, Paoli, PA 19301-1763 | 2017-06-08 |
| 1154510568 | Sean M Burket | Nurse Practitioner | 255 West Lancaster Avenue, Bldg 2 - Suite 328, Paoli, PA 19301-1766 | 2007-10-22 |
| 1780787903 | Heatly Dulles Sebring | Allergy & Immunology | 255 West Lancaster Avenue, Suite 209, Paoli, PA 19301-1765 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780656744 | Sally G Speck | Emergency Medicine | 225 W Lancaster Ave, Paoli, PA 19301-1767 | 2006-02-03 |
| 1578535522 | Mitchell S Drake | Emergency Medicine | 255 West Lancaster Avenue, Paoli, PA 19301 | 2006-02-03 |
| 1992703581 | Debbie J Hall | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2005-07-08 |
| 1407331838 | Brittany Beck | Emergency Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2018-10-02 |
| 1912166208 | Dorothy Wang | Emergency Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2008-06-03 |
| 1932216892 | Jill Kostick | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2006-08-24 |
| 1073560074 | Raffi V Terzian | Emergency Medicine | 11 Industrial Blvd, Paoli, PA 19301-1632 | 2006-05-27 |
| 1891748141 | David A. Nathan | Emergency Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2006-05-18 |
| 1205893484 | Christopher M Scipione | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2006-04-29 |
| 1295708667 | Stuart A Brilliant | Emergency Medicine | 255 W Lancaster Ave, Paoli, PA 19301 | 2006-02-08 |
| Find all providers in PAOLI | ||||
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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.