GILBERT M MAMAUAG (NPI# 1922056464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922056464 |
| Entity Type | Individual |
| Full Name | GILBERT M MAMAUAG |
| Credential | M.D. |
| Practice Address |
346 Beechwood Dr London KY 40744-5403 |
| Mailing Address |
Po Box 370 London KY 40743-0370 |
| Practice Telephone | 8592277666 |
| Practice Fax Number | 6068644774 |
| Mailing Telephone | 8592277666 |
| Mailing Fax Number | 6068644774 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 31417 | KY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 31417 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000526857 | 01 |
| KY | ANTHEM BCBS | 000000525342 | 01 |
| KY | 6431417200 | 05 |
| Street Address |
346 BEECHWOOD DR |
| City | LONDON |
| State | KY |
| Zip Code | 40744-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054627 | Savanna Helton | Counselor | 934 South Laurel Road, London, KS 40744 | 2019-07-12 |
| 1972063204 | Kentucky Rural Health Information Technology Network, Inc. | Community/Behavioral Health | 934 S. Laurel Rd., London, KY 40744 | 2019-03-22 |
| 1184158925 | Laceysha Jamison | Counselor | 21 Middeleground Way, London, KY 40744 | 2017-04-19 |
| 1255705018 | Felicia Church | Speech-Language Pathologist | 248 J Crews Road, London, KY 40744 | 2015-11-17 |
| 1952795163 | Case Managment Options of Kentucky | Case Manager/Care Coordinator | 563 Lockaby Ln, London, KY 40744 | 2015-03-25 |
| 1689066953 | Sitters Etc., LLC | In Home Supportive Care | 1340 S. Laurel Rd, London, KY 40744 | 2015-02-24 |
| 1407280019 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 586 Hal Rogers Dr, London, KY 40744 | 2013-08-30 |
| 1760603716 | Janis J. Baker | Speech-Language Pathologist | 351 Royal Drive, London, KY 40744 | 2007-05-01 |
| 1043249816 | Premier Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1340 S Laurel Rd, Offices 104-106, London, KY 40744 | 2006-07-02 |
| 1114358702 | Dereni Blake Brock | Physical Therapist | 195 Commercial Dr, Ste 100, London, KY 40744-5234 | 2013-12-06 |
| Find all providers in zip 40744 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730135138 | Emmanuel C. Yumang | Emergency Medicine | 73 Thompson Poynter Road, Suite A, London, KY 40741-2050 | 2006-05-26 |
| 1801842653 | Werner Grentz | Emergency Medicine | 106 Nami Plz Ste 2, London, KY 40741-3125 | 2006-05-25 |
| 1013961986 | Elzer T. Fuller Jr. | Emergency Medicine | 969 Laurel Cove Rd, London, KY 40741-9024 | 2006-05-22 |
| 1215339486 | Matthew Chase | Emergency Medicine | 1851 State Route 56, Infirmary, London, OH 43140 | 2014-09-19 |
| 1104268051 | Michael Riley Jakob | Emergency Medicine | 339 Windermere Rd, London, ONTARIO N6A 5A5 | 2013-07-20 |
| 1184888406 | Baha Qashou | Emergency Medicine | 1001 Saint Joseph Ln, London, KY 40741 | 2008-07-16 |
| 1497940753 | James Derrick Adams | Emergency Medicine | 1406 W 5th St, Ste 201, London, KY 40741-1688 | 2007-09-10 |
| 1992900419 | Matthew Anthony Walker | Emergency Medicine | 210 N Main St, London, OH 43140-1115 | 2007-06-15 |
| 1649207101 | Troy Thomas Pope | Emergency Medicine | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2006-06-28 |
| 1265482574 | Mohammad Yusuf | Emergency Medicine | 148 London Mountain View Dr, Suite 4, London, KY 40741-6601 | 2006-05-10 |
| Find all providers in LONDON | ||||
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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.