DR. RICHARD F. CAMINO GAZTAMBIDE (NPI# 1184803116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184803116 |
| Entity Type | Individual |
| Full Name | DR. RICHARD F. CAMINO GAZTAMBIDE |
| Credential | M.D. |
| Practice Address |
997 Saint Sebastian Way Augusta GA 30912-2613 |
| Mailing Address |
1499 Walton Way Ste 1400 Attn: D. Raiford Augusta GA 30901-2603 |
| Practice Telephone | 7067216597 |
| Practice Fax Number | 7067216602 |
| Mailing Telephone | 7068288401 |
| Mailing Fax Number | 7067227235 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
070352 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0003136410 | 05 | |
| GA | GEORGIA MEDICAL LICENSE | 070352 | 01 |
| Street Address |
997 SAINT SEBASTIAN WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033193412 | Ruth M. Graupera-frain | Pediatrics | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2005-11-30 |
| 1679190219 | Lauren Schaefer | Student in an Organized Health Care Education/Training Program | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2020-06-30 |
| 1942827571 | Natalie R. Holt | Student in an Organized Health Care Education/Training Program | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2020-06-30 |
| 1205452935 | Ezinne Kanu | Student in an Organized Health Care Education/Training Program | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2020-06-18 |
| 1487279683 | Kayla Alvine Chory | Psychiatry & Neurology | 997 Saint Sebastian Way, Augusta, GA 30912-5488 | 2020-06-12 |
| 1588221808 | Matthew Michael Kridel | Student in an Organized Health Care Education/Training Program | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-05-22 |
| 1558927673 | Mckenzie Jo Cordell | Student in an Organized Health Care Education/Training Program | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-05-14 |
| 1538723234 | John Barnard Fleming | Student in an Organized Health Care Education/Training Program | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-04-28 |
| 1194288316 | Joseph Clayton Brock Jr. | Psychiatry & Neurology | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-04-14 |
| 1902394950 | Allison Lyn Kirschbaum | Counselor | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003977257 | Andrew Cook | Psychiatry & Neurology | 11 State House Station, Augusta, ME 04011-0011 | 2006-12-12 |
| 1134213184 | Robert Blackwood | Psychiatry & Neurology | 1505 Winter Street, Building C, Augusta, GA 30904 | 2006-10-03 |
| 1437159456 | William Southall Evans Jr. | Psychiatry & Neurology | 3481 Mike Padgett Hwy, Augusat Youth Development Campus, Augusta, GA 30906-3815 | 2005-08-01 |
| 1043845373 | Ivy Collaborative Healthcare | Psychiatry & Neurology | 1215 W Wheeler Pkwy, Augusta, GA 30909-1899 | 2020-03-06 |
| 1679860522 | Jocelyn Kelly Bayliss | Psychiatry & Neurology | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2011-06-29 |
| 1780814624 | Patrick Molitor | Psychiatry & Neurology | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2009-07-24 |
| 1659539328 | Lori Schwam, M.d., LLC | Psychiatry & Neurology | 4424 Columbia Rd, Suite B, Augusta, GA 30907-4565 | 2008-05-29 |
| 1629293071 | Javed N Haque | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2007-04-13 |
| 1871650150 | Dinesh M Doshi | Psychiatry & Neurology | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2007-01-03 |
| 1376611996 | Paige N.c. Mcinerney | Psychiatry & Neurology | 66 Stone St, Augusta, ME 04330-5227 | 2006-12-01 |
| Find all providers in AUGUSTA | ||||
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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.