MR. PETER LEONARD GERGEN (NPI# 1396968384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396968384 |
| Entity Type | Individual |
| Full Name | MR. PETER LEONARD GERGEN |
| Credential | PA-C |
| Practice Address |
1401 S University Dr Nacogdoches TX 75961-6488 |
| Mailing Address |
1401 S University Dr P. O. Box 632040 Nacogdoches TX 75961-6488 |
| Practice Telephone | 9365605668 |
| Practice Fax Number | 9365603928 |
| Mailing Telephone | 9365605668 |
| Mailing Fax Number | 9365603928 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01120 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235209172 | Peter Joseph Gergen | Pediatrics | 6610 Rockledge Dr, Rm 3067, Bethesda, MD 20892-6610 | 2006-11-08 |
| Street Address |
1401 S UNIVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-6488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367090 | East Texas Community Health Services, Inc. | Clinic/Center | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2006-06-23 |
| 1477162584 | Chantell Monique Comans | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2020-07-24 |
| 1295367795 | Kendra Joy Vandover | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2020-02-12 |
| 1316287915 | Maribel Arredondo | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2013-02-20 |
| 1689860397 | Jan Elizabeth Bailey | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-09-18 |
| 1548483472 | Kevin Lee Murphy | Physician Assistant | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-04-10 |
| 1942423892 | Richard Edward Tracy | Family Medicine | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245770452 | Priscilla Choukroun | Physician Assistant | 4920 Ne Stallings Dr Ste 310, Nacogdoches, TX 75965-1254 | 2017-03-07 |
| 1154730877 | Sarah Marie Jones | Physician Assistant | 4710a Ne Stallings, Nacogdoches, TX 75965-1615 | 2014-08-06 |
| 1922035179 | Bonnie Bass Ryan | Physician Assistant | 2106 North Raguet Street, Nacogdoches, TX 75962-4437 | 2006-06-26 |
| 1316481492 | Stone Fort Inpatient Services Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2016-12-08 |
| 1578010146 | Brandi Marie Hernandez | Physician Assistant | 3611 North St Ste 140, Nacogdoches, TX 75965-2478 | 2016-09-01 |
| 1588037261 | Astral Emergency Physicians, Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-11-04 |
| 1568834521 | Bastion Emergency Physicians, Pplc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-10-29 |
| 1215337720 | Whitney Revette Hamilton | Physician Assistant | 1106 South St, Nacogdoches, TX 75964 | 2014-09-03 |
| 1659794774 | Texas Em-i Medical Services Pa | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2014-01-24 |
| 1326268525 | Robert Naquin | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 | 2007-04-27 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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| 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.