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GARY A ESCUDERO M.D.
NPI 1205867603
Pediatrics in Gallup, NM

Active since July 05, 2006
516 E. NIZHONI BLVD, BOX 1337, GALLUP, NM 87301(505) 722-1000(505) 722-1397 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary A Escudero M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY A ESCUDERO M.D. (NPI 1205867603) is an individual pediatrics provider in Gallup, New Mexico, licensed in New Mexico (84-176) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205867603
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGARY A ESCUDEROCredential: M.D.
Location Address516 E. NIZHONI BLVD, BOX 1337Gallup, NM 87301-1337
Mailing Address516 E. Nizhoni Blvd, Box 1337Gallup, NM 87301-1337 · (505) 722-1000 · Fax (505) 722-1397
Phone(505) 722-1000
Fax(505) 722-1397
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 11, 2008
✔ NPI 1205867603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · 84-176
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
516 E. NIZHONI BLVD, Gallup, NM 87301
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Other Identifiers 4

Medicare UPINH37699
Medicaid000R6724NM
Medicaid414582AZ
Medicare ID-Type Unspecified8HZ144TX · Hsz006

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SANDRA L SKEETS RN
Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
GERI A GOFFE CNM
Registered Nurse
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
JOVITO G SABAL D.D.S
Dentist
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
MRS. QIANA LASHUN COFFEY RN, MSN
Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
LEANDER MEYERS
Pharmacy Technician
516 E. NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
JEANMAIRE RENE OFFNER M.D.
Internal Medicine
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1262
EDWARD T HUI MD
Neurological Surgery
516 E. NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
OLIVE PINO DA
Dental Assistant
516 E. NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Escudero's NPI number?

The NPI number for Gary Escudero is 1205867603. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Gary Escudero located?

Gary Escudero practices at 516 E. Nizhoni Blvd Box 1337, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Gary Escudero's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Gary Escudero was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.