MR. SETH TYLER GAMBONE (NPI# 1184263303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184263303 |
| Entity Type | Individual |
| Full Name | MR. SETH TYLER GAMBONE |
| Credential | CRNA |
| Practice Address |
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3619 |
| Mailing Address |
7400 San Pedro Dr Ne Apt 1069 Albuquerque NM 87109-4691 |
| Practice Telephone | 5057278000 |
| Mailing Telephone | 6146336621 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 58681 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 DR MARTIN LUTHER KING JR AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261611 | Gilbert M Martinez | Nuclear Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2005-10-31 |
| 1114533239 | Mattie Firlit | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2020-09-23 |
| 1518527530 | Shannon Erickson | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-06-20 |
| 1396218095 | Caroline Jane Spencer | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-01-04 |
| 1023596491 | Jason Michael Rotonda | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 | 2018-07-30 |
| 1275010985 | Main Street Anesthesia of New Mexico, LLC | Anesthesiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-07-25 |
| 1740779560 | Paris Arlette Cook | Pharmacist | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2018-05-07 |
| 1386150076 | Raiza Stephanie Mena | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-12-18 |
| 1255843710 | Bernadette Perea-zamora | Registered Nurse | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-10-24 |
| 1093237810 | Billy Jay Taylor | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2017-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649728981 | Paul Koury | Nurse Anesthetist, Certified Registered | 13600 Rebonito Ct Ne, Albuquerque, NM 87112-4929 | 2016-09-15 |
| 1699047605 | Katherine Brooks Ingram | Nurse Anesthetist, Certified Registered | 1100 Central Ave. Se, Presbyterian Hospitals, Albuquerque, NM 87106 | 2012-02-07 |
| 1033489240 | Hideyo Tsumura | Nurse Anesthetist, Certified Registered | 4401 Masthead St Ne Ste 120, Albuquerque, NM 87109-4497 | 2012-01-04 |
| 1043348501 | Beth E Schatzman | Nurse Anesthetist, Certified Registered | 5400 Gibson Blvd Se Ste 200, Albuquerque, NM 87108 | 2007-02-28 |
| 1083754519 | Laura M. Henry | Nurse Anesthetist, Certified Registered | 905 Kinley Avenue Nw, Albuquerque, NM 87104 | 2007-02-07 |
| 1457424772 | Rebecca Anne Cdebaca | Nurse Anesthetist, Certified Registered | 4416 Goodrich Ave Ne, Albuquerque, NM 87110-1136 | 2006-11-16 |
| 1063528743 | Randy A Rogers | Nurse Anesthetist, Certified Registered | 8505 Bellehaven Pl Ne, Albuquerque, NM 87112-3821 | 2006-08-22 |
| 1164536801 | Paul J Butler | Nurse Anesthetist, Certified Registered | 4520 Montgomery Blvd Ne Ste 6, Albuquerque, NM 87109-1291 | 2006-08-19 |
| 1881601847 | Letitia Ann Meglan | Nurse Anesthetist, Certified Registered | 9551 Paseo Del Norte Ne, Physician Surgery Center of Albuquerque, Albuquerque, NM 87122-2975 | 2006-08-02 |
| 1245277359 | Jamie B Kaplin | Nurse Anesthetist, Certified Registered | 13300 Twilight Trail Pl Ne, Albuquerque, NM 87111-8248 | 2006-05-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.