MR. TIMOTHY PAUL GACIOCH (NPI# 1356329817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356329817 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY PAUL GACIOCH |
| Credential | PA |
| Practice Address |
4300 Perimeter Rd (341st Med Group) Bldg 2040, Room S156 Malmstrom Afb MT 59402-0001 |
| Mailing Address |
1821 4th St S Great Falls MT 59405-4147 |
| Practice Telephone | 4067312928 |
| Mailing Telephone | 4067503519 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4300 PERIMETER RD (341ST MED GROUP) BLDG 2040, ROOM S156 |
| City | MALMSTROM AFB |
| State | MT |
| Zip Code | 59402-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255166 | Jonathan Tankersley | Dentist | 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402 | 2017-06-13 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1396181533 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 341 Mdg/mdss/sgsa 7300 N Perimeter Rd, Bldg 2040, Malstrom Afb, MT 59402 | 2013-05-15 |
| 1205098258 | Dennis Gordon Vanhook | Social Worker | 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 | 2008-07-01 |
| 1437205119 | Misty Dawn Robertson | Dental Hygienist | 3700 N Perimeter Road, Malmstrom Afb, MT 59402 | 2007-01-26 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1558829408 | Tyler C Mcdaniel | Psychologist | 7300 N Perimeter Rd, Great Falls, MT 59402 | 2019-03-11 |
| 1952541716 | Stacey Renee Vierra | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 | 2009-03-05 |
| 1306094461 | Jeremy Gustafson | Pharmacist | 7300 North Perimeter Road, Malmstrom Afb, MT 59402 | 2008-09-03 |
| 1104848159 | Malmstrom Air Force Base | Military Hospital | 7300 N Perimeter Rd Bldg 2040, 341 Mdos/sgomhf Malmstrom Afb, Great Falls, MT 59402-6701 | 2006-07-25 |
| Find all providers in zip 59402 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073842977 | Robert Alexander | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group/sghq, Malmstrom Afb, MT 59402-6780 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204988 | David Michael Neill | Physician Assistant | 310 South Sansome St., Philipsburg, MT 59858 | 2017-09-21 |
| 1528362159 | Carlye Bolstad | Physician Assistant | 3703 Harrison Ave Ste B, Butte, MT 59701-6897 | 2010-12-21 |
| 1578700902 | Karen Sue Barton | Physician Assistant | 3015 18th Ave S, Great Falls, MT 59405-5155 | 2009-01-07 |
| 1962676270 | Joan L Turek | Physician Assistant | 35499 County Rd 134, Fairview, MT 59221 | 2008-04-17 |
| 1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
| 1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
| 1649365271 | Blythe Lindsay | Physician Assistant | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-10-03 |
| 1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
| 1164533618 | David E. Mangold | Physician Assistant | 20 Four Mile Dr Ste 2, Kalispell, MT 59901-2644 | 2006-08-31 |
| 1205858867 | Brooke Kendra Schmidt | Physician Assistant | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
| City | MALMSTROM AFB |
| Zip Code | 59402 |
Please comment or provide details below to improve the information on MR. TIMOTHY PAUL GACIOCH.
| 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.