NPIMap

Organization Active NPI

Nancy Louise Carlson Gamer, D.P.M.

Doing business as Nancy Carlson Gamer, D.P.M.

  • Podiatrist
  • Wilton, CT
National Provider Identifier
1114192739
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00526 Issued in CT
Legal business name
NANCY LOUISE CARLSON GAMER, D.P.M.
Doing business as
Nancy Carlson Gamer, D.P.M.
Practice address
150 Westport Rd
Wilton, CT 06897-4527
Phone
(203) 834-1233
Fax
(203) 762-0472
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Nancy L. Gamer, DPMNPI 1326155110
Title
Owner
Phone
(203) 834-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00526 CT Primary

Addresses

Primary practice location

150 Westport Rd
Wilton, CT 06897-4527

Mailing address

150 Westport Rd
Wilton, CT 06897-4527
Phone (203) 834-1233

Other identifiers 1

IdentifierTypeStateIssuer
004099372MedicaidCT

Other names 1

  • Nancy Carlson Gamer, D.P.M. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1114192739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTPORT RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974527",
            "telephone_number": "203-834-1233",
            "fax_number": "203-762-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WESTPORT RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974527",
            "telephone_number": "203-834-1233",
            "fax_number": "203-762-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY LOUISE CARLSON GAMER, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GAMER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-834-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "00526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004099372",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy Carlson Gamer, D.P.M.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.