Active NPI
Gary Eugene Gaffield, D.O.
- Geriatric Medicine (Family Medicine) Physician
- Concrete, WA
National Provider Identifier
1992953277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 1630
- Practice address
- 44416 Dalles Rd
Concrete, WA 98237-9431 - Phone
- (360) 853-7084
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 1630 | WA | Primary |
Addresses
Primary practice location
44416 Dalles Rd
Concrete, WA 98237-9431
Mailing address
44416 Dalles Rd
Concrete, WA 98237-9431
Phone (360) 853-7084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1630 | WA | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1992953277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44416 DALLES RD",
"city": "CONCRETE",
"state": "WA",
"postal_code": "982379431",
"telephone_number": "360-853-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44416 DALLES RD",
"city": "CONCRETE",
"state": "WA",
"postal_code": "982379431",
"telephone_number": "360-853-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAFFIELD",
"first_name": "GARY",
"middle_name": "EUGENE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WA",
"license": "1630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concrete, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.