PABLO GAMBOA (NPI# 1659350890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659350890 |
| Entity Type | Individual |
| Full Name | PABLO GAMBOA |
| Credential | M.D. |
| Practice Address |
3525 Olentangy River Rd Ste 5360 Columbus OH 43214-3937 |
| Mailing Address |
100 E Campus View Blvd Ste 160 Columbus OH 43235-4647 |
| Practice Telephone | 6143407747 |
| Practice Fax Number | 6143407742 |
| Mailing Telephone | 6143964750 |
| Mailing Fax Number | 6143964742 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35076760 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE | P00245806 | 01 |
| OH | 2169586 | 05 |
| Street Address |
3525 OLENTANGY RIVER RD STE 5360 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264872 | Mark Alfonso | Radiology | 3525 Olentangy River Rd, Ste 5360, Columbus, OH 43214-3937 | 2005-05-31 |
| 1174141311 | Jennifer Vargo | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2020-07-13 |
| 1891346268 | Grant Dula | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2019-09-26 |
| 1790268795 | Ali Shapiro | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2018-09-14 |
| 1740796572 | Katherine Lee Cialella | Physician Assistant | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2017-12-15 |
| 1245745041 | Emily Lynn Hatfield | Physician Assistant | 3525 Olentangy River Rd, Ste 4330, Columbus, OH 43214 | 2017-12-04 |
| 1225554454 | Kathryn Nagle | Nurse Practitioner | 3525 Olentangy River Rd, Columbus, OH 43214-3937 | 2017-08-18 |
| 1649704834 | Abigail Shaw | Nurse Practitioner | 3525 Olentangy River Rd, Suite 5300, Columbus, OH 43214-3937 | 2017-04-14 |
| 1437696572 | Kimberly A Heuser | Nurse Practitioner | 3525 Olentangy River Rd, Suite 5300, Columbus, OH 43214-3937 | 2017-01-27 |
| 1225573447 | Asha Marie Bhat Allen | Physician Assistant | 3525 Olentangy River Rd, Suite 5320, Columbus, OH 43214-3937 | 2016-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1710220975 | Mina S Makary | Radiology | Department of Radiology, Osu Medical Center, 395 W. 12th Ave, 4th Floor, Columbus, OH 43210 | 2013-04-05 |
| 1619236387 | Christopher Scott Davis | Radiology | 395 W 12th Ave Rm 482, Columbus, OH 43210-1267 | 2012-05-15 |
| 1144591066 | Morton I Goldstein | Radiology | 2142 Maple Bnd, Columbus, OH 43229-6809 | 2012-01-24 |
| 1447563168 | Louis Marone | Radiology | Po Box L3402, Columbus, OH 43260-0001 | 2010-07-22 |
| 1407179062 | Theresa M. March | Radiology | 4937 W Broad Street, Suite 302, Columbus, OH 43228 | 2010-03-10 |
| 1114153467 | Kerry Yolanda Cole | Radiology | 2984 Valley Creek Dr, Columbus, OH 43223-3525 | 2009-06-01 |
| 1760631105 | Frank Michael Mullinix | Radiology | 10601 W Grandview Dr, Columbus, IN 47201-8697 | 2008-09-10 |
| 1508024209 | Clinic Medical Services Company | Radiology | 1550 Kenny Rd, Columbus, OH 43212-2564 | 2008-05-29 |
| Find all providers in COLUMBUS | ||||
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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.