DR. LUIS LEDESMA GAMBOA


Address: 3401 N Broad St, Philadelphia, PA 19140-5103
Phone: 2157075030

DR. LUIS LEDESMA GAMBOA (NPI# 1699936062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699936062
Entity Type Individual
Full Name DR. LUIS LEDESMA GAMBOA
Credential M.D.
Practice Address 3401 N Broad St
Philadelphia
PA 19140-5103
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157075030
Practice Fax Number 2157073494
Mailing Telephone 2157075030
Mailing Fax Number 2157073494
Enumeration Date 2008-06-18
Last Update Date 2018-04-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
MD450133 PA Allopathic & Osteopathic Physicians

Other Providers LUIS GAMBOA

NPI Name Taxonomy Address Enumeration
1992366520 Luis Fernando Gamboa Dentist 7885 Nw 107 Ave, Building 5, Suite 4, Doral, FL 33178-4427 2019-06-25

Office Location

Street Address 3401 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942205133 Shefali Agrawal Specialist 3401 N Broad St, Philadelphia, PA 19140-5103 2005-06-15
1962018523 Caroline Grace Kelly Audiologist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-09-18
1457965964 Barbara Ohiaeri Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-09-02
1710505904 Cara Greenspan 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-14
1013535756 Srinivasa Prasad Venkata Kanuparthi Neurological Surgery 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1417575143 Sakshi Gandhi Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1801414594 Azka Rahman Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-08
1417574658 Anna-kaye Marie Brown Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-04
1285251405 Shalonda Cook Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
1386261501 Temidayo Aderibigbe Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 207PP0204X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Pediatric Emergency Medicine

Taxonomy Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427288745 Marleny Franco Emergency Medicine 34th St and Civic Center Blvd, Ctrb 9121, Children's Hosp of Philadelphia, Div of Emerg Medicine, Philadelphia, PA 19104 2009-07-21
1457523045 Margaret M Love Emergency Medicine Front & Erie Sts, Schc Emergency Dept, Philadelphia, PA 19134 2008-03-24
1790701126 Abigail Pudpud Emergency Medicine 1401 S 31st St Fl 2, Philadelphia, PA 19146-3506 2006-07-15
1174167738 Meredith Marie Tarbell Emergency Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2019-11-06
1336554641 Maher Mohammad K. Abulfaraj Emergency Medicine 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2014-06-25
1508284365 Elizabeth Sanseau Emergency Medicine 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2014-03-30
1164840989 Andrea Anderson Emergency Medicine 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2014-03-29
1548523855 Katherine Gupta Emergency Medicine 3401 Civic Center Boulevard, Division of Emergency Medicine, Philadelphia, PA 19104 2012-06-21
1114212099 Stephen M Sandelich Emergency Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2011-06-18
1235360488 Beth Simone Etra Emergency Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2009-08-06
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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