EDDIE LEON GAINES


Address: 42145 N Fairgreen Ct, Anthem, AZ 85086-1066
Phone: 5754057697

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NM 26189 05

Other Providers EDDIE GAINES

NPI Name Taxonomy Address Enumeration
1083604243 Eddie G Gaines Family Medicine 2227 Drake Ave Sw, Huntsville, AL 35805-5199 2005-10-27

Office Location

Street Address 42145 N FAIRGREEN CT
City ANTHEM
State AZ
Zip Code 85086-1066

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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ANTHEM
Zip Code 85086

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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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