Active NPI
Michael Gzaskow, MD
- Psychiatry Physician
- Las Vegas, NM
National Provider Identifier
1598853152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NM75-45
- Practice address
- 700 Friedman Ave
Las Vegas, NM 87701-4231 - Phone
- (505) 454-5100
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NM75-45 | NM | Primary |
Addresses
Primary practice location
700 Friedman Ave
Las Vegas, NM 87701-4231
Mailing address
700 Friedman Ave
Las Vegas, NM 87701-4231
Phone (505) 454-5100
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM75-45 | NM | MD | Psychiatry Physician |
| 7545 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598853152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 FRIEDMAN AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014231",
"telephone_number": "505-454-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FRIEDMAN AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014231",
"telephone_number": "505-454-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GZASKOW",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "NM75-45",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.