EDWARD GARY GUM (NPI# 1740751841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740751841 |
Entity Type | Individual |
Full Name | EDWARD GARY GUM |
Credential | MSN, RN |
Practice Address |
#3 Cedar Road San Felipe Pueblo NM 87001 |
Mailing Address |
#3 Cedar Road Po Box 4339 San Felipe Pueblo NM 87001 |
Practice Telephone | 5057719941 |
Practice Fax Number | 5057719992 |
Mailing Telephone | 5057719941 |
Mailing Fax Number | 5057719992 |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
R25665 | NM | Nursing Service Providers |
Street Address |
#3 CEDAR ROAD |
City | SAN FELIPE PUEBLO |
State | NM |
Zip Code | 87001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790247583 | Timothy Earle Moeslein | Registered Nurse | #3 Cedar Road, San Felipe Pueblo, NM 87001 | 2019-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194229278 | Michael Townsend | Peer Specialist | 3 Cedar Rd, Algodones, NM 87001 | 2018-03-22 |
1750837332 | Kaitlyn Therese Archibeque | Specialist/Technologist | 1370a Hwy 313, Algodones, NM 87001 | 2016-09-01 |
1992154850 | Tonya Louis | Social Worker | 25 Cougar Road, San Felipe, NM 87001 | 2016-06-10 |
1821391806 | Gail Aguilar | Counselor | 18 Cougar Road, San Felipe Behavioral Health Program, San Felipe, NM 87001 | 2010-12-13 |
1740341304 | David M Hanson | Dentist | #4 Cedar Street, San Felipe, NM 87001 | 2006-12-13 |
1265511299 | Pueblo of San Felipe | Clinic/Center | 3 Cedar Rd., San Felipe, NM 87001 | 2006-11-02 |
1831274851 | San Felipe Health Clinic | General Acute Care Hospital | Cedar Street, San Felipe, NM 87001 | 2006-10-26 |
1164439261 | Marvin Jordan Godner | Pediatrics | 711 Pueblo Main Street, San Felipe Pueblo, NM 87001 | 2006-08-02 |
1366425712 | Julie Anna King | Pharmacist | San Felipe Health Clinic Pharmacy, Cedar Street #4 San Felipe Pueblo, San Felipe, NM 87001 | 2005-11-21 |
1255885430 | Dana Shock | Registered Nurse | Pueblo of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 | 2016-08-05 |
Find all providers in zip 87001 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679028500 | Norys Gil | Registered Nurse | 12655 Indian Pl Ne, Albuquerque, NM 87112-4713 | 2016-08-21 |
1710199286 | Gloria Jean Calhoun | Registered Nurse | 215 Princeton Dr, Se, Albuquerque, NM 87106-2875 | 2007-05-04 |
1235246877 | Teresa K. Woodfill | Registered Nurse | 6349 St Hwy 550, Cuba, NM 87013 | 2006-08-23 |
1861954729 | Kathleen Cheryl Atene | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-04-01 |
1265905897 | Debra Kay Peterman | Registered Nurse | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2019-01-07 |
1225500440 | Larry Harden Lybbert | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-12-28 |
1649742511 | Allean Raneta Bonin | Registered Nurse | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2018-12-17 |
1124564299 | Jolene Platero | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-01-13 |
1740730803 | Cathy Costlow Mcdonald | Registered Nurse | 1400a E 20th St, Exceptional Programs Office, Farmington, NM 87401-9024 | 2016-10-12 |
1073069845 | Tamara Kay James | Registered Nurse | 315 E Clinton St, Hobbs, NM 88240-8238 | 2016-08-31 |
Find all providers with the same taxonomy |
City | SAN FELIPE PUEBLO |
Zip Code | 87001 |
Please comment or provide details below to improve the information on EDWARD GARY GUM.
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.