Individual provider Active NPI

Christine Anderson Gabr, M.D.

  • Anesthesiology Physician
  • Jeffersonville, IN
National Provider Identifier
1407994973
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C54932 Issued in CA
Practice address
200 Missouri Ave BLDG 18
Suite a
Jeffersonville, IN 47130-3061
Phone
(812) 920-0055
Fax
(812) 920-0060
NPI assigned
Feb 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 39794 KY
Anesthesiology Physician 207L00000X 01067965A IN
Anesthesiology Physician 207L00000X C54932 CA Primary

Addresses

Primary practice location

200 Missouri Ave BLDG 18
Suite a
Jeffersonville, IN 47130-3061

Mailing address

15 Anchorage Pointe
Anchorage, KY 40223-2179
Phone (502) 244-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20141119002350 CA Practitioner - Anesthesiology 2769573021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buena Vista Anesthesia Medical GroupGroup PAC ID 7113975996, 51 clinicians

Practice addresses (Care Compare)

501 S Buena Vista St
Burbank, CA 91505-4866
Phone (818) 843-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54932CAMDAnesthesiology Physician
01067965AINMDAnesthesiology Physician
39794KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Anesthesia Medical Group Anesthesiology CurrentSince Nov 1, 2014 Accepting new patients
Sleep Ez Anesthesia PLLC Past Accepting new patients
Buena Vista Surgery Center, LLC Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

824 N Glendale Ave
Glendale, CA 91206
Phone (818) 247-0523

11550 Indian Hls
Mission Hills, CA 91345
Phone (818) 365-6632

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

27420 Tourney Rd
Ste 160
Valencia, CA 91355
Phone (661) 222-3100

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1407994973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANCHORAGE POINTE",
            "city": "ANCHORAGE",
            "state": "KY",
            "postal_code": "402232179",
            "telephone_number": "502-244-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSOURI AVE BLDG 18",
            "address_2": "SUITE A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303061",
            "telephone_number": "812-920-0055",
            "fax_number": "812-920-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABR",
        "first_name": "CHRISTINE",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "39794",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01067965A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C54932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.