Fernando E Gamoneda, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21087 Issued in PR

Practice address

4303 Pitman St
Fort Sill, OK 73503-4473

Phone

(580) 585-5782

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, PR2 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 2

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1316467657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33326",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735030326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 PITMAN ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034473",
            "telephone_number": "580-585-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMONEDA",
        "first_name": "FERNANDO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredia Renay Freeman, DDS
• Randall Freeman
• Elena Gabriela Furdui-Carr, DDS
• Matthew Gaines, PA-C
• Michael Baxter Galloway, PHARM D
• Lucia M Garcia-Carmona, PHARM.D.
• Charles Michael Gates, PHARMD
• Michael Joseph Gill, DOCTOR OF PHARMACY
• Timothy W. Gill, D.PH.
• Robert Nathan Gilliam, D.M.D.

• General Practice Physician in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.