EDDIE LEON GAINES (NPI# 1942268156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942268156 |
Entity Type | Individual |
Full Name | EDDIE LEON GAINES |
Credential | M.D. |
Practice Address |
42145 N Fairgreen Ct Anthem AZ 85086-1066 |
Mailing Address |
3800 E Lohman Ave Las Cruces NM 88011-8273 |
Practice Telephone | 5754057697 |
Mailing Telephone | 5755226500 |
Mailing Fax Number | 5755220591 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2019-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
94250 | NM | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 94250 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 26189 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083604243 | Eddie G Gaines | Family Medicine | 2227 Drake Ave Sw, Huntsville, AL 35805-5199 | 2005-10-27 |
Street Address |
42145 N FAIRGREEN CT |
City | ANTHEM |
State | AZ |
Zip Code | 85086-1066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
Find all providers in zip 85086 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922584812 | Northern Arizona Allergy Group LLC | Allergy & Immunology | 3130 Stillwater Dr Ste B, Prescott, AZ 86305-7199 | 2018-07-13 |
1356668644 | Hosea E Brown Md Inc | Allergy & Immunology | 3755 Karicio Ln, Suite 2a, Prescott, AZ 86303-6836 | 2010-04-26 |
1316263031 | Hosea E Brown Md Inc | Allergy & Immunology | 2901 N Stockton Hill Rd, Suite B, Kingman, AZ 86401-4121 | 2010-04-20 |
1255473872 | Jodi Leah Rubin | Allergy & Immunology | 9097 E Desert Cove Ave Ste 250, Scottsdale, AZ 85260-6278 | 2007-02-12 |
1801821152 | Todd Michael Hrabak | Allergy & Immunology | 5750 W. Thunderbird Rd #g780, Glendale, AZ 85306-4636 | 2006-07-12 |
1568460616 | Richard George Keightley | Allergy & Immunology | 20940 N Tatum Blvd, Ste 205, Phoenix, AZ 85050-7260 | 2005-07-12 |
1730185711 | Uday K. Reddy | Allergy & Immunology | 6970 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5158 | 2005-06-23 |
1487274791 | Forkela, LLC | Allergy & Immunology | 2001 N 4th St, Flagstaff, AZ 86004-4227 | 2020-04-17 |
1265996102 | Allergy & Immunology Specialists, LLC | Allergy & Immunology | 13575 W Indian School Rd Ste 200, Litchfield Park, AZ 85340-4906 | 2019-01-24 |
1144772195 | Julie A Wendt Md Pllc | Allergy & Immunology | 21803 N Scottsdale Rd, Ste 200, Scottsdale, AZ 85255-7438 | 2016-10-25 |
Find all providers with the same taxonomy |
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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.