Juan Felix Gaido, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34761 Issued in CO

Practice address

1058 College Dr
New Town, ND 58763-9112

Phone

(701) 627-4750

Fax

(701) 627-4750

NPI assigned

Dec 15, 2005

Last updated

Aug 4, 2014By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.gaido.p1@direct.lcthc.nextgenshare.com

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.

• Elbowoods Memorial Health Center

  dba Minne Tohe Health Center

  • Clinic/Center
  • New Town, ND
  • NPI 1831365519
  Medicare reassignment NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1174509749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DRIVE",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "58763",
            "telephone_number": "701-627-4750",
            "fax_number": "701-627-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112",
            "telephone_number": "701-627-4750",
            "fax_number": "701-627-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDO",
        "first_name": "JUAN",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "34761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347616",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17742",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Dawn Flying Horse
• Gregory L Fondong, PHARMACIST
• Joni Foote
• Fort Berthold IHS Health Center Pharmacy
• Creseta E Fuller, RN
• Eva Garreau
• Sharlene Gjermundson, RN
• Kyonia Hale
• Sunny Hall, RN
• Amy Ham

• Pediatrics Physician in New Town, ND
• Providers in New Town, ND by specialty
• Pediatrics Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.