Active NPI
Eugene Q Salvador, MD
- Anesthesiology Physician
- Gallup, NM
National Provider Identifier
1558418905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K4226
- Practice address
- 516 East Nizhoni Blvd
Gallup, NM 87301-1337 - Phone
- (505) 722-1223
- Fax
- (505) 722-1421
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K4226 | TX | Primary |
Addresses
Primary practice location
516 East Nizhoni Blvd
Gallup, NM 87301-1337
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029587501 | Medicaid | TX | |
| 459921 | Medicaid | AZ | |
| 21656860 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4226 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Chinghuei Kao MD Inc | Anesthesiology | Past | Accepting new patients |
| Timothy Tom MD PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Garden Grove, CA
- NPI 1063647774
-
- Anesthesiology Physician
- Kingsville, TX
- NPI 1134185341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1558418905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1337",
"city": "GALLUP",
"state": "NM",
"postal_code": "873051337",
"telephone_number": "505-722-1223",
"fax_number": "505-722-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 EAST NIZHONI BLVD",
"city": "GALLUP",
"state": "NM",
"postal_code": "873011337",
"telephone_number": "505-722-1223",
"fax_number": "505-722-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVADOR",
"first_name": "EUGENE",
"middle_name": "Q",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K4226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029587501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "459921",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21656860",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.