COY W GAMMAGE JR APMC (NPI# 1548594419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548594419 |
| Entity Type | Organization |
| Organization Name | COY W GAMMAGE JR APMC |
| Practice Address |
1162 Oliver Road Suite 7 Monroe LA 71201 |
| Mailing Address |
P O Box 6137 Monroe LA 71211-6137 |
| Practice Telephone | 3183257007 |
| Practice Fax Number | 3186990025 |
| Mailing Telephone | 3183257007 |
| Mailing Fax Number | 3186990025 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |
| Authorized Official Name | DR. COY W GAMMAGE JR. (PRESIDENT) |
| Authorized Official Telephone | 3183257007 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RRMC | 830005032 | 01 | |
| LA | 1976652 | 05 |
| Street Address |
1162 OLIVER ROAD SUITE 7 |
| City | MONROE |
| State | LA |
| Zip Code | 71201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
| 1881974129 | Chad A Shields | Nurse Practitioner | 1162 Oliver Road, Suite 7, Monroe, LA 71201-5755 | 2011-08-18 |
| 1275867145 | Benjamin B Weinberger Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| 1366776239 | Scott M Barron Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
| 1619927316 | Piedmont Oncology Specialists | Internal Medicine | 1650 Faulk St, Suite A, Monroe, NC 28112-5263 | 2006-05-11 |
| 1386641397 | Charu L Trivedi | Internal Medicine | 800 Stewart Rd, Suite B, Monroe, MI 48162-4226 | 2005-07-05 |
| 1316942535 | Donna Ann Walker | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2005-06-15 |
| 1093126310 | Zachary Farmer | Internal Medicine | 1550 Faulk St, Ste 1100, Monroe, NC 28112-5086 | 2014-05-09 |
| 1235486606 | Louisiana Oncology, LLC | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2012-08-04 |
| 1306175476 | Mecklenburg Medical Group | Internal Medicine | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5086 | 2009-12-18 |
| 1275867145 | Benjamin B Weinberger Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| 1366776239 | Scott M Barron Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| 1174706394 | Carolinas Physicians Network Inc | Internal Medicine | 1650 Faulk St, Suite A, Monroe, NC 28112-5263 | 2007-12-11 |
| Find all providers in MONROE | ||||
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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.