GARY WEST (NPI# 1417902545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417902545 |
| Entity Type | Individual |
| Full Name | GARY WEST |
| Credential | PA |
| Practice Address |
615 E 14th St Wayne NE 68787-1152 |
| Mailing Address |
Po Box 328 Sioux City IA 51102-0328 |
| Practice Telephone | 4023752500 |
| Practice Fax Number | 4023752463 |
| Mailing Telephone | 7122795830 |
| Mailing Fax Number | 7122795883 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
56 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017806 | Gary Allen West | Home Health | 43223 Township Road 296, Dresden, OH 43821-9634 | 2020-09-08 |
| 1407909534 | Gary R West | Psychologist | 200 S Wenona St Ste 280, Bay City, MI 48706-8845 | 2007-01-20 |
| 1013138320 | Gary Dwayne West | Social Worker | 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906-4406 | 2007-05-02 |
| 1629040332 | Gary Douglas West | Pharmacist | 8901 Wisconsin Ave, Bethesda, MD 20889-1002 | 2006-02-06 |
| 1376541250 | Gary W West | Specialist | 8038 Wurzbach Rd, San Antonio, TX 78229-3812 | 2005-07-13 |
| Street Address |
615 E 14TH ST |
| City | WAYNE |
| State | NE |
| Zip Code | 68787-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619920105 | Alfred David Felber | Family Medicine | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-18 |
| 1730599762 | Angela Mclaughlin | Family Medicine | 615 E 14th St, Wayne, NE 68787 | 2014-04-29 |
| 1720026461 | Mercy Medical Services | Family Medicine | 615 E 14th St, Wayne, NE 68787-1152 | 2006-06-03 |
| 1023063146 | Anne M. Liska | Physician Assistant | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-24 |
| 1679528616 | Mark O. Mccorkindale | Family Medicine | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-24 |
| 1669427613 | Benjamin J Martin | Family Medicine | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-24 |
| 1407801459 | James A. Lindau | Family Medicine | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-24 |
| 1215982483 | Willis L Wiseman | Family Medicine | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209623 | Pearl Street Counseling, LLC | Counselor | 421 N Pearl Street, Wayne, NE 68787 | 2019-01-31 |
| 1760883367 | Northeast Nebraska Public Health Department | Public Health or Welfare | 215 Pearl Street, Wayne, NE 68787 | 2014-09-15 |
| 1942419353 | Muffin Elaine Morris | Specialist/Technologist | 11 11 Main Street, Wayne State College, Wayne, NE 68787 | 2007-05-22 |
| 1801952601 | Craig W Braun | Dentist | 206 E 7th St, Wayne, NE 68787 | 2006-12-28 |
| 1124120464 | Robert Kevin Krugman | Chiropractor | 214 Pearl Street, Wayne, NE 68787 | 2006-09-05 |
| 1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
| 1083977474 | Amy Joan Bowers | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-06-20 |
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| 1649568775 | Grace Counseling Services | Community/Behavioral Health | 111 Main Street, Wayne, NE 68787 | 2011-07-11 |
| 1780975144 | Magnuson Hopkins Eyecare PC | Optometrist | 1112 W 7th St, Wayne, NE 68787 | 2011-04-20 |
| Find all providers in zip 68787 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629016985 | Heather Lynn Schoenberger | Physician Assistant | 1825 Rt 23 South, Wayne, NJ 07470 | 2006-06-02 |
| 1518567601 | Timothy Steffen Dahl | Physician Assistant | 2025 Hamburg Tpke Ste C, Wayne, NJ 07470-6250 | 2020-10-28 |
| 1831701671 | Pure Psychiatry of Michigan Pllc | Physician Assistant | 34841 Veterans Plaza, Wayne, MI 48184-1733 | 2020-08-22 |
| 1437778339 | Sabrina Cheresa Regis | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-10 |
| 1326348202 | Cindy Ann Burns | Physician Assistant | 1784 Hamburg Tpke, Wayne, NJ 07470-4094 | 2010-10-26 |
| 1447389044 | Gregory L. Gliha | Physician Assistant | 34815 W Michigan Ave, Ste A, Wayne, MI 48184-1799 | 2007-03-02 |
| 1023063146 | Anne M. Liska | Physician Assistant | 615 E 14th St, Wayne, NE 68787-1152 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1639308893 | Lisa C Degen | Physician Assistant | 2116 W Faidley Ave Ste 400, Grand Island, NE 68803 | 2009-07-09 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| Find all providers with the same taxonomy | ||||
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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.