Eddie Leon Gaines, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

94250 Issued in NM

Practice address

42145 N Fairgreen CT
Anthem, AZ 85086-1066

Phone

(575) 405-7697

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Maria Elena Falcon, M.D., P.a.

  dba Allergy & Asthma Center

  • Allergy Physician
  • McAllen, TX
  • NPI 1023061041
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1942268156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "575-522-6500",
            "fax_number": "575-522-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42145 N FAIRGREEN CT",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861066",
            "telephone_number": "575-405-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "EDDIE",
        "middle_name": "LEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "94250",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NM",
            "license": "94250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26189",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Flynn, PHARM D.
• Miguel Fonseca-Moreno
• Natalie Frame
• Ryan Frisch
• Katherine Elizabeth Furnish, P.T., M.P.T.
• Sarah Jean Garrison, NP
• Gateway Optometry PLC
• Gavilan Peak Physical Therapy
• Jennifer Amy Gentry-Calvo, NMD
• Rachel Gerber, DPM

• Allergy Physician in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Allergy Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.