Espes Est,LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

97-23 Issued in NM

Legal business name

ESPES EST,LLC

Doing business as

Gallup Neurology

Practice address

1211 E Aztec Ave
Gallup, NM 87301-4901

Phone

(505) 870-9647

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Flor Jarasa Caballar Gonzaga, M.D.

Title

Organizer/Member

Phone

(505) 870-9647

Specialties & licenses 4

Addresses

Other names 1

• GALLUP NEUROLOGY Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3551/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1528359148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 RANCHO RD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017036",
            "telephone_number": "505-870-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014901",
            "telephone_number": "505-870-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPES EST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "CABALLAR GONZAGA",
        "authorized_official_first_name": "FLOR",
        "authorized_official_middle_name": "JARASA",
        "authorized_official_title_or_position": "ORGANIZER/MEMBER",
        "authorized_official_telephone_number": "505-870-9647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "97-60",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "97-23",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NM",
            "license": "97-23",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NM",
            "license": "97-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALLUP NEUROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Epley, RN
• Ayodele Olumide Erinle, M.D.
• Stacy Esalio, RN
• Gary A Escudero, M.D.
• Caitlyn Nicole Eseman
• Bradley John Espeseth, NP-C
• Oluremi D Esuruoso, RN
• Carle N Eustace, DA
• Amy P Evans
• Angela Evans, RN

• Neurology Physician in Gallup, NM
• Providers in Gallup, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.