Ivan Gamboa has Endocrinology as his primary medical specialty. Their primary office is: 5428 Odonovan Dr B in Baton Rouge, Louisiana.
They're a part of the: Our Lady Of The Lake Physician Group Llc medical group which has around 523 members. You can call their office at 225-490-6309 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2008 (around 16 years of experience). They are listed as doing telehealth appointments.
Ivan Gamboa
Our Lady Of The Lake Physician Group Llc
5428 Odonovan Dr B
Baton Rouge, Louisiana 70808
225-490-6309
Phone: 225-490-6309
Enter a starting address:
Medical School: Sorry, his university is not listed
Graduation Year: 2008
The Primary Medical Specialty for Ivan Gamboa is listed as: Endocrinology
Approximate Years of Experience: 16
PAC (PECOS ID)#: 5193012979
NPI #: 1366739468
NPI Created On: 07/09/2011
NPI Last Updated Listed as: 06/30/2022
Primary Taxonomy Code: 207R00000X
License Number:
125059415
Listed Gender: Male
Forms of insurance accepted by include, but are not limited to:
They are listed as accepting new patients.
Languages spoken by staff include: ENGLISH, English, Spanish.
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $19
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 792505951
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Endocrinology
Name of Drug #1: Tirosint
Open Associated Drug #1: 71858-0010-4
Payments Total: $16
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 792505953
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Endocrinology
Name of Drug #1: Tirosint
Open Associated Drug #1: 71858-0010-4
Payments Total: $26
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 794540749
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: IMMUNOLOGY
Name of Drug #1: SYNTHROID
Open Associated Drug #1: 0074-5182-90
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 794540753
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: IMMUNOLOGY
Name of Drug #1: SYNTHROID
Open Associated Drug #1: 0074-5182-90
Drug or Biological: Drug
Product Category #2: GASTROENTEROLOGY
Name Of Drug #2:: LINZESS
Associated Drug #2: 0456-1201-30
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 794540759
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: IMMUNOLOGY
Name of Drug #1: SYNTHROID
Open Associated Drug #1: 0074-5182-90
Drug or Biological: Drug
Product Category #2: GASTROENTEROLOGY
Name Of Drug #2:: LINZESS
Associated Drug #2: 0456-1201-30
Payments Total: $18
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805472699
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Payments Total: $19
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805472705
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Payments Total: $17
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 805472709
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Livalo
Open Associated Drug #1: 66869-404-07
Payments Total: $2
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 818552313
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: SYNJARDY
Open Associated Drug #1: 0597-0159-18
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: TRULICITY
Associated Drug #2: 0002-1433-80
Drug or Biological #3:: Drug
Product Category #3: Diabetes
Name of Drug: JARDIANCE
Name Of Drug #3: 0597-0152-37
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 818552315
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: SYNJARDY
Open Associated Drug #1: 0597-0159-18
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: TRULICITY
Associated Drug #2: 0002-1433-80
Drug or Biological #3:: Drug
Product Category #3: Diabetes
Name of Drug: JARDIANCE
Name Of Drug #3: 0597-0152-37
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