Ruth Angelica Naomi Gamble, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1170764 Issued in MD

Practice address

6821 Reisterstown Rd Lowr LVL
Baltimore, MD 21215-1431

Phone

(410) 358-6450

NPI assigned

Feb 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjasienski197191@direct.hopkinsmedicine.org

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.

• Johns Hopkins University

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment
• Saluja Medical Associates

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1932399466
  Medicare reassignment
• Johns Hopkins University

  • Transplant Surgery Physician
  • Baltimore, MD
  • NPI 1124009758
  NPD
• Johns Hopkins University

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1962034868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MADONNA RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841031",
            "telephone_number": "484-467-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD LOWR LVL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151431",
            "telephone_number": "410-358-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "RUTH",
        "middle_name": "ANGELICA NAOMI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "1170764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1170764",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Gambert, M.D.
• Audycee Gamble
• Bryan Gamble
• Joanne Gamble, PT, DPT
• Malaya Denise Gamble, CRNP
• Shanze Gamble, REGISTERED NURSE
• Tracie Shirrelle Gambrill
• Stephen Harold Gamerman, DDS
• Patricia Gamez de Levy, M.D.
• Abhishek Gami

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.