DR. ANTHONY NICKOLAS GAVALAS II (NPI# 1114544830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114544830 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY NICKOLAS GAVALAS II |
| Credential | MD |
| Practice Address |
4801 Alberta Ave El Paso TX 79905-2707 |
| Practice Telephone | 9152055205 |
| Mailing Telephone | 9152055205 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4801 ALBERTA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79905-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531469 | Pedro Antonio Blandon | Internal Medicine | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2005-07-12 |
| 1144820739 | Jacqueline Sanchez | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-10-31 |
| 1477179679 | Ashtyn Barrientes | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-23 |
| 1649896937 | Cole Patrick | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-22 |
| 1780200055 | Kirtan Anandkumar Brahmbhatt | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-22 |
| 1417573155 | Stephen Moreland | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-18 |
| 1649896341 | James Welsey Grow IIi | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-18 |
| 1063038990 | Luis Enrique Marin | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-16 |
| 1689299984 | Naila Kausar | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-11 |
| 1508481102 | Luke Anderson | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909600 | Maria Ethel Aguirre Flores | Student in an Organized Health Care Education/Training Program | 4801 Alberta Av., El Paso, TX 79905 | 2020-07-17 |
| 1720549975 | Jo-anna Palma | Student in an Organized Health Care Education/Training Program | 517 Firstwood Place, El Paso, TX 79905 | 2019-03-29 |
| 1255840500 | Americas Medical Billing Firm LLC | Spec/Tech, Health Info | 6090 Surety Dr Ste 105, El Paso, TX 79905 | 2017-09-28 |
| 1720500184 | Zip Zap It Solutions, LLC | Contractor | 6044 Gateway East Suite 429, El Paso, TX 79905 | 2017-07-07 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1467823849 | Kristin Marie Giroux | Registered Nurse | 4800 Alberta Ave # Msc41013, El Paso, TX 79905 | 2015-10-12 |
| 1710353255 | Estela Santos | Social Worker | 3812 Pera Avenue, El Paso, TX 79905 | 2015-08-19 |
| 1649652223 | Martina Torres | Counselor | 7722 North Loop, El Paso, TX 79905 | 2015-06-19 |
| 1710388681 | Charles R De Jesus Morales | Radiology | 5001 El Paso Drive Csb-a02, Ttuhsc Radiology Dpt., El Paso, TX 79905 | 2014-09-10 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909600 | Maria Ethel Aguirre Flores | Student in an Organized Health Care Education/Training Program | 4801 Alberta Av., El Paso, TX 79905 | 2020-07-17 |
| 1417575226 | Sharon Joseph | Student in an Organized Health Care Education/Training Program | 4011 Alabama St Apt 4307, El Paso, TX 79930-2426 | 2020-07-08 |
| 1508482761 | Jonathan M Kittle | Student in an Organized Health Care Education/Training Program | 5005 N Pideras Street, El Paso, TX 79920-5001 | 2020-06-23 |
| 1588287551 | Aditi Singh | Student in an Organized Health Care Education/Training Program | 945 S Mesa Hills Dr Apt 1811, El Paso, TX 79912-5189 | 2020-05-25 |
| 1093337917 | Amar Rajiv Patel | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave # Msc41007, El Paso, TX 79905-2709 | 2020-05-13 |
| 1306475363 | David Gustafson | Student in an Organized Health Care Education/Training Program | 900 Myrtle Ave Apt 2309, El Paso, TX 79901-1673 | 2020-04-02 |
| 1164050472 | Mitalie Gupta | Student in an Organized Health Care Education/Training Program | 6044 Gateway Blvd E Fl 9, El Paso, TX 79905-2023 | 2020-03-31 |
| 1336777853 | Madison Nicholle Fringer | Student in an Organized Health Care Education/Training Program | 1700 N Oregon St Ste 570, El Paso, TX 79902-3587 | 2020-03-30 |
| 1326676842 | Michael Davis | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 | 2020-03-30 |
| 1316578560 | Roxann Alexis Lerma | Student in an Organized Health Care Education/Training Program | 415 S Mesa Hills Dr Apt 1086, El Paso, TX 79912-5476 | 2020-01-27 |
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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.