MR. ALEJANDRO JAVIER GAMBOA (NPI# 1730543828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730543828 |
| Entity Type | Individual |
| Full Name | MR. ALEJANDRO JAVIER GAMBOA |
| Practice Address |
725 Chestnut St Erie PA 16502-1303 |
| Mailing Address |
Po Box 5226 Fairlawn OH 44334-0226 |
| Practice Telephone | 3309623330 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
725 CHESTNUT ST |
| City | ERIE |
| State | PA |
| Zip Code | 16502-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760846539 | Jose A. Matos Jr. | Specialist/Technologist | 725 Chestnut St, #4, Erie, PA 16502-1303 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729555 | Kirsten Wellman | Specialist/Technologist | 2648 E 33rd St, Erie, PA 16510-2714 | 2020-04-23 |
| 1255960142 | Mary-catherine Ingaldi | Specialist/Technologist | 4224 Lake Pleasant Rd, Erie, PA 16504-2364 | 2020-04-03 |
| 1023578614 | Bremont Keairis Robison | Specialist/Technologist | 440 E 17th St, Erie, PA 16503-2002 | 2019-03-21 |
| 1316406069 | Jared Limbeck | Specialist/Technologist | 1318 Filmore Ave, Erie, PA 16505-4219 | 2019-03-12 |
| 1326512245 | Genadine Toves | Specialist/Technologist | 3180 Wcr #5, Erie, CO 80516-8051 | 2019-01-14 |
| 1659867158 | Shannon E Farbacher | Specialist/Technologist | 108 University Square, Erie, PA 16541-0001 | 2018-07-08 |
| 1689160541 | Paul Matthias Endres | Specialist/Technologist | 100 Peach St Ste 101, Erie, PA 16507-1423 | 2018-07-03 |
| 1427541747 | Jonathan Scott Garich | Specialist/Technologist | 3516 Aberdeen Ave, Erie, PA 16506-2765 | 2018-06-11 |
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1174023261 | Megan Elizabeth Goodrich | Specialist/Technologist | 501 W 12th St, Erie, PA 16501-1536 | 2018-02-15 |
| Find all providers in ERIE | ||||
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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.