Hugh A Gamble II, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

06723 Issued in MS

Practice address

344 Arnold Ave
Greenville, MS 38701-4711

Phone

(662) 332-8131

Fax

(662) 334-4478

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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.

• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2008.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1841238540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014711",
            "telephone_number": "662-332-8131",
            "fax_number": "662-334-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014711",
            "telephone_number": "662-332-8131",
            "fax_number": "662-334-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "HUGH",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "06723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00061867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00019473",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107867001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freedom Behavioral Hospital of Greenville LLC
• Freelance Anesthesia Mississippi, LLC
• Fresenius Medical Care Greenville Home, LLC
• Amanda Frison
• G & M Transportation LLC
• Queeneice Boyette Ganison, FNP-BC
• Megan Elizabeth Gant, DMD
• Genesis Hospice Care, LLC
• J Barry Gillespie, M.D.
• Gregg A Gober, MD

• All providers in Greenville, MS
• Vascular Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.