Christopher Michael Gamboa, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD29211 Issued in ME

Practice address

1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133

Phone

(803) 632-3311

NPI assigned

Apr 27, 2020

Last updated

Aug 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, VT, ME3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Hospitalist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houlton Regional HospitalGroup PAC ID 0042127946, 59 clinicians

Springfield Hospital Inc.Group PAC ID 6507760337, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Springfield Hospital Hospital, Springfield, VT, CCN 471306
• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
• Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
• Springfield Hospital Nursing home, CCN 47Z306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1386804268
  Medicare reassignment Care Compare group NPD
• Springfield Hospital

  • Critical Access Hospital Clinic/Center
  • Springfield, VT
  • NPI 1033225875
  Medicare reassignment Care Compare group NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  Family Medicine, SC

  Medicare reassignment NPD
• Houlton Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houlton, ME
  • NPI 1013355254
  NPD
• Springfield Hospital .Inc

  • Critical Access Hospital
  • Springfield, VT
  • NPI 1982743969
  NPD
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  dba MHMH Regional Services

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  Care Compare affiliation
• Springfield Hospital

  • Critical Access Hospital Clinic/Center
  • Springfield, VT
  • NPI 1033225875
  Care Compare affiliation
• Springfield Hospital .Inc

  • Critical Access Hospital
  • Springfield, VT
  • NPI 1982743969

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1083235444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ONYX CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320860361",
            "telephone_number": "904-887-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 ALLENDALE FAIRFAX HWY",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298279133",
            "telephone_number": "803-632-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hartford St",
            "address_purpose": "LOCATION",
            "city": "Houlton",
            "state": "ME",
            "postal_code": "047301859",
            "country_code": "US",
            "telephone_number": "207-532-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "91160",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD29211",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "MMD.91160",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD29211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc (Allendale County Dialysis)
• Vivien Rose Ebert, DMD
• Fairfax Pharmacy Inc.
• Fairfax Pharmacy Inc.
• Jerlesa Frazier-Harney, RN
• Lewis Edward Gore III, PT, DPT
• Robert M Haberkorn, DDS,MBA
• Angela Hardin, PTA
• Azalyn Hickman, OTRL
• Honest Way Transportation LLC

• Hospitalist Physician in Fairfax, SC
• Providers in Fairfax, SC by specialty
• Hospitalist Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.