Douglas L Gamburg, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

010644 Issued in LA

Practice address

224 Pecan Park Ave
Alexandria, LA 71303-3308

Phone

(318) 443-9191

Fax

(318) 443-9190

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093735532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-443-9191",
            "fax_number": "318-443-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-443-9191",
            "fax_number": "318-443-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBURG",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "010644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148148",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaeton R Galante, P.A.
• Lawanda Marie Galberth
• Shameka Galberth
• Amanda Galland, M.A, BCBA, LBA
• John Whithurst Gallaspy, MD
• Diondra Gantt
• Miguel Angel Garcia-Caro, M.D.
• Jose Ramon Garcia-Ramirez, M.D.
• Ernesto Jose Garcia-Ramos, M.D.
• Mary Hirchak Garcia, A.P.R.N.,B.C.

• Orthopaedic Surgery Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• 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.

Verify at the official NPI Registry.