ELIZABETH GAGE (NPI# 1073625497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073625497 |
Entity Type | Individual |
Full Name | ELIZABETH GAGE |
Other Name | LIZ GAGE |
Credential | PA |
Practice Address |
1035 Hickory Creek Blvd Hickory Creek TX 75065-7552 |
Mailing Address |
2124 Millwood Dr Corinth TX 76210-2218 |
Practice Telephone | 7133351745 |
Mailing Telephone | 4694416613 |
Mailing Fax Number | 9404980112 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01853 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | PA PERMIT | PAO1853 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972080505 | Elizabeth Catherine Gage | Nurse Practitioner | 3308 Tulane Ave, New Orleans, LA 70119-7100 | 2018-07-26 |
1174804967 | Elizabeth Ann Gage | Speech-Language Pathologist | 1127 Queensborough Blvd Ste 104, Mt Pleasant, SC 29464-5431 | 2011-09-07 |
Street Address |
1035 HICKORY CREEK BLVD |
City | HICKORY CREEK |
State | TX |
Zip Code | 75065-7552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114944253 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2006-07-16 |
1518568658 | Linh My Dao | Pharmacist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2020-11-04 |
1326649443 | Cecilia Woods | Pharmacist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2020-11-04 |
1598365231 | Jigesha Jaldip Patel | Pharmacist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2020-10-30 |
1689167488 | Chau Thoai Ong | Pharmacist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2018-06-07 |
1609317411 | Smileeasy Dental Hickory Creek, Pllc | Dentist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2017-03-13 |
1518246057 | Diane Ta | Optometrist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2011-08-16 |
1104135672 | Hickory Creek Eye Care | Optometrist | 1035 Hickory Creek Blvd, Ste. A, Hickory Creek, TX 75065-7552 | 2010-10-01 |
1104093673 | Rediclinic Us, LLC | Clinic/Center | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2008-05-13 |
1023177219 | Olivia Thuy Le | Optometrist | 1035 Hickory Creek Blvd, Hickory Creek, TX 75065-7552 | 2006-12-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538650924 | Nalani M Newton | Physical Therapy Assistant | 300 E Swisher Rd Apt 3101, Lake Dallas, TX 75065 | 2018-05-22 |
1174801880 | Christin Danielle Vaello | Dentist | 2020 Fm 2181, Hickory Creek, TX 75065 | 2011-07-29 |
1912934167 | Thuan N Pham | Dentist | 4550 Swisher Road, Hickory Creek, TX 75065 | 2006-06-26 |
1346718111 | Stephanie Mouser | Counselor | 211 Main Street, #150, Lake Dallas, TX 75065 | 2018-11-09 |
1104100361 | America Dental | Dentist | 4550 Swisher Road, Hickory Creek, TX 75065 | 2011-10-06 |
1447817465 | One Reach LLC | Counselor | 211 Saratoga Dr, Lake Dallas, TX 75065-0320 | 2019-05-24 |
1710184296 | Family Chiropractic & Wellness Center | Chiropractor | Po Box 760, Lake Dallas, TX 75065-0760 | 2007-06-28 |
1184984403 | K2 Home Healthcare, Inc. | Home Health | 318 Sweet Leaf Ln, Lake Dallas, TX 75065-2275 | 2012-05-21 |
1598042657 | Jerome P. Kralka I | Hearing Instrument Specialist | 514 Meadowbrook St, Lake Dallas, TX 75065-2312 | 2011-11-03 |
1518354000 | Sloane Garrett | Developmental Therapist | 506 Ridgewood St, Lake Dallas, TX 75065-2320 | 2015-04-22 |
Find all providers in zip 75065 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437181237 | Richard Lee Easton | Physician Assistant | 201 Hilltop Ln, Hickory Creek, TX 75065-7558 | 2006-07-06 |
1235565862 | Tony George | Physician Assistant | 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 | 2013-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
Find all providers with the same taxonomy |
City | HICKORY CREEK |
Zip Code | 75065 |
Please comment or provide details below to improve the information on ELIZABETH GAGE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.