Gabbie Medical Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GABBIE MEDICAL CLINIC PA

Practice address

401 East St
Texarkana, AR 71854-6507

Phone

(903) 614-8337

Fax

(903) 614-5251

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark O Gabbie, MD

Title

Owner/Physician

Phone

(903) 614-8337

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0vrdpNH7rwpdKHXHV32pI9kiii8_MVX2/

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy L Overlock, M.D.

  • Specialist
  • Texarkana, TX
  • NPI 1194722173
  NPD (past)
• Janice A Sample, RN, FNP

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1306825120
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1023049947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EAST ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546507",
            "telephone_number": "903-614-8337",
            "fax_number": "903-614-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546507",
            "telephone_number": "903-614-8337",
            "fax_number": "903-614-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABBIE MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "GABBIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "903-614-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165764501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9R059",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155508002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021LM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5099470001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Freece, LPC
• Shannon Freeman
• Carly Elizabeth Frix-Rhyne, MS, LPC, RPT
• Terence Dewayne Fulce, MHPP
• Amy Lynn Fyffe, MHPP
• Jonathan Gailes, MHPP
• Gabrielle Renee Gamble
• Gammon Healthcare Solutions PLLC
• Wendy Wynette Gammon, FNP
• Ragini Ganguly, M. D.

• All providers in Texarkana, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.