Gaston Cornu-Labat, M.D.
Individual provider Active NPI Surgery Physician · Quincy, WA
NPI 1982740825 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982740825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD00040392 (WA)
- Practice address
- 908 10TH Ave SW
Quincy, WA 98848-1376 - Phone
- (509) 787-5368
- Fax
- (509) 787-2016
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 17, 2017 through Jan 17, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Box Butte General Hospital | Past | Accepting new patients | |
| Box Butte General Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00040392 | WA | Yes |
Addresses
Primary practice location
908 10TH Ave SW
Quincy, WA 98848-1376
Mailing address
908 10TH Ave SW
Quincy, WA 98848-1376
Phone (509) 787-5368
Other providers in Quincy, WA
- Janelle Blancas Rodriguez
- David Ater Bol
- Vincent Edward Bryan Jr.
- Adriana Cardenas
- Keven Michael Child
- Laura Cottingham
- Grant L Cox
- Vanessa Cruz
- Kris Davis
- Desert Sun Dental
All providers in Quincy, WA · Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.