Active NPI
Philip Kamps, MD
- Obstetrics & Gynecology Physician
- Gallup, NM
National Provider Identifier
1003887829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 68-31
- Practice address
- 1900 Redrock Dr
Rehoboth McKinley Christian Health Care Services
Gallup, NM 87301-5682 - Phone
- (505) 863-7200
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 68-31 | NM | Primary |
Addresses
Primary practice location
1900 Redrock Dr
Rehoboth McKinley Christian Health Care Services
Gallup, NM 87301-5682
Mailing address
1901 Redrock Dr
PFS Dept
Gallup, NM 87301-5683
Phone (505) 863-7000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14589 | Medicaid | NM | |
| 85031326887301A132 | Other | CHAMPUS | |
| NM001458 | Other | NM | BC/BS |
| 10002102 | Other | NM | LOVELACE HEALTH/SALUD |
| 228686 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003887829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 REDROCK DR",
"address_2": "PFS DEPT",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015683",
"telephone_number": "505-863-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 REDROCK DR",
"address_2": "REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015682",
"telephone_number": "505-863-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMPS",
"first_name": "PHILIP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "68-31",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14589",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "85031326887301A132",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "NM001458",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10002102",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228686",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.