Individual provider Active NPI

Mark A Gamber, D.O.

  • Emergency Medicine Physician
  • Plano, TX
National Provider Identifier
1407832173
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L7384 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 758-3598
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L7384 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3598

Other identifiers 4

IdentifierTypeStateIssuer
8J1778OtherTXBCBS
P00283731OtherTXRAILROAD
8J1759OtherTXBCBS
8J1779OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, FL, CA, MI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20031215000967 TX Practitioner - Emergency Medicine 5395642680 Reassigns benefits to 1 organization
I20210225001892 GA Practitioner - Emergency Medicine 5395642680 Reassigns benefits to 1 organization
I20210505000434 FL Practitioner - Emergency Medicine 5395642680 Reassigns benefits to 1 organization
I20211130001815 CA Practitioner - Emergency Medicine 5395642680
I20230718000812 MI Practitioner - Emergency Medicine 5395642680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308090NYMDLicensed Practical Nurse
18857CAMDAcupuncturist
L7384TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 2, 2021 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 1, 2005 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 2, 2021 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Northside Emergency Associates, LLC Emergency Medicine CurrentSince Jan 26, 2021 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jun 14, 2023 Accepting new patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Jul 1, 2005 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Medevac Midamerica Inc PastSince Sep 10, 2023 Accepting new patients

Locations

1525 NW 62nd St
Ft Lauderdale, FL 33309
Phone (954) 939-6693

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1407832173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201606",
            "telephone_number": "972-758-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-758-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J1778",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00283731",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J1759",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J1779",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.