MR. GERARDO HURTADO (NPI# 1497075261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497075261 |
| Entity Type | Individual |
| Full Name | MR. GERARDO HURTADO |
| Credential | PA-C |
| Practice Address |
600 Grant St Gary IN 46402-6001 |
| Mailing Address |
2692 Teresa St Portage IN 46368-3642 |
| Practice Telephone | 2198864405 |
| Mailing Telephone | 2193313264 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001146A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 GRANT ST |
| City | GARY |
| State | IN |
| Zip Code | 46402-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265686 | Candace Kapranos | Nurse Practitioner | 600 Grant St, Gary, IN 46402-6001 | 2020-02-04 |
| 1104460062 | Matthew Gerard Mcgowan | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-11-04 |
| 1083257695 | Keva Swopes Mobley | Registered Nurse | 600 Grant St, Gary, IN 46402-6001 | 2019-10-26 |
| 1891343174 | Stephanie J Herald | Anesthesiologist Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-08-29 |
| 1619538055 | Cep America LLC | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2019-06-26 |
| 1508330267 | Julie Witvoet | Pharmacist | 600 Grant St, Gary, IN 46402-6001 | 2019-01-16 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| 1588164123 | Alexx Puckett | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2018-02-20 |
| 1174030605 | Chube2 Primary Care LLC | Family Medicine | 600 Grant St, Gary, IN 46402-6001 | 2018-01-05 |
| 1548779887 | Joshua Zalot | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2017-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1497254296 | Callie Stephens | Licensed Practical Nurse | 1100 W 6th Ave, Gary, IN 46402 | 2018-02-07 |
| Find all providers in zip 46402 | ||||
| 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 |
|---|---|---|---|---|
| 1396871687 | Renita White | Physician Assistant | 600 S Grant Street, Gary, IN 46404-1732 | 2007-02-23 |
| 1104460062 | Matthew Gerard Mcgowan | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-11-04 |
| 1588164123 | Alexx Puckett | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2018-02-20 |
| 1154841740 | Dana Rylee Payne | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2017-06-23 |
| 1184004293 | Hester Chakyung Lee | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2015-06-03 |
| 1578950424 | Kathryn Avina | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2015-04-17 |
| 1467881839 | Elizabeth Baldys | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2013-11-06 |
| 1073947743 | Julie Ann Sedlacek | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2013-08-29 |
| 1700210473 | Lindsey Marie Ashley | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2013-08-29 |
| 1598041402 | Jessica Lisa Bruskoski | Physician Assistant | 600 Grant St, Gary, IN 46402-9985 | 2011-10-25 |
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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.