Gamma Healthcare, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GAMMA HEALTHCARE, INC

Practice address

2938 Telegraph Rd
Saint Louis, MO 63125-4061

Phone

(314) 416-0142

Fax

(314) 894-1365

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry W Murphy

Title

Chairman & Ceo

Phone

(573) 727-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1992166599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W MAUD ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014003",
            "telephone_number": "573-727-5600",
            "fax_number": "573-785-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 TELEGRAPH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254061",
            "telephone_number": "314-416-0142",
            "fax_number": "314-894-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "573-727-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carolyn Gamache, M.D.
• Elizabeth Anne Gambill, ACNP
• Gary L Gambill, MD
• Justine Emily Gamblin
• Claudia Obimaa Gambrah-Lyles, MD
• Julie K Gammack, MD
• Samantha Gammon
• Lori A Gampp, LPC
• Jehan Ganachaud, MA, NCC, PLPC
• Avi Gandhi

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.