MR. RICHARD STEVEN GAFT (NPI# 1578626735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578626735 |
| Entity Type | Individual |
| Full Name | MR. RICHARD STEVEN GAFT |
| Credential | ANCC, FNP |
| Practice Address |
125 N Washington St Box 114 Prescott MI 48756-5117 |
| Mailing Address |
125 N Washington St Po Box 114 Prescott MI 48756-5117 |
| Practice Telephone | 9898733352 |
| Mailing Telephone | 9898733352 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4704201154 | MI | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704201154 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 5008774320 | 01 |
| MI | MEDICARE GROUP NUMBER | MI1172 | 01 |
| Street Address |
125 N WASHINGTON ST BOX 114 |
| City | PRESCOTT |
| State | MI |
| Zip Code | 48756-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005569 | Jennifer Lynn Datzko | Nurse Practitioner | 125 N Washington St, Prescott, MI 48756-5117 | 2019-10-22 |
| 1295248508 | Prescott Clinic P.C. | Family Medicine | 125 N Washington St, Prescott, MI 48756-5117 | 2017-11-08 |
| 1992831960 | Charles E Jessup | Family Medicine | 125 N Washington St, Prescott, MI 48756-5117 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571056 | Gabriel Wayne Wallace | Technician | 5208 Michiban Ave., Prescott, MI 48756 | 2015-10-28 |
| 1881622835 | Prescott Clinic P.C. | Family Medicine | 125 Washington, Prescott, MI 48756 | 2006-06-29 |
| 1407194954 | Jimmie S Ward Sr. | Physician Assistant | 125 Washington Ave, Prescott, MI 48756-5117 | 2013-01-17 |
| 1659379915 | Antonio F Mendiola Jr. | General Practice | 1827 Greenwood Rd, Prescott, MI 48756-8626 | 2005-07-12 |
| 1881679645 | Sterling Area Health Center | Clinic/Center | 1827 Greenwood Rd, Prescott, MI 48756-8626 | 2005-12-14 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1750319083 | Daniel Edward Greene | Chiropractor | 1818 Greenwood Rd, Prescott, MI 48756-8627 | 2006-06-28 |
| 1619477338 | Corinne Crawford | Behavior Technician | 3909 Rifle River Trl, Prescott, MI 48756-9345 | 2018-02-19 |
| 1598258329 | Aliyah Marie Allen | Behavior Technician | 5130 Greenwood Rd, Prescott, MI 48756-9616 | 2018-06-06 |
| 1558405217 | Roos Pharmacy North, Inc. | Pharmacy | 2370 Greenwood Rd, Prescott, MI 48756-9655 | 2007-02-16 |
| Find all providers in zip 48756 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757731 | Dionne Louise Shy | Nurse Practitioner | 939 Juanita Ter, Prescott, AZ 86303-3541 | 2020-07-21 |
| 1659851046 | Michael Berlowe | Nurse Practitioner | 306 N Virginia St, Prescott, AZ 86301-2634 | 2018-08-15 |
| 1760996276 | Melanie Lynn Hearnsberger Mcguire | Nurse Practitioner | 234 Nevada 222 E, Prescott, AR 71857-8101 | 2017-11-20 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1265958755 | Prescott Family Practice and Wellness, LLC | Nurse Practitioner | 1151 W Iron Springs Rd Ste F, Prescott, AZ 86305-1614 | 2017-08-16 |
| 1073067195 | Arrow Housecall | Nurse Practitioner | 1797 N Lapis Dr, Prescott, AZ 86301-5972 | 2016-08-05 |
| 1326431214 | Helen Betito Paslay | Nurse Practitioner | 3110 Clearwater Dr Ste B, Prescott, AZ 86305-7177 | 2015-03-16 |
| 1992116446 | Teri Sweginnis | Nurse Practitioner | 1602 Barmar Ln, Prescott, AZ 86301-1266 | 2014-05-17 |
| 1013330448 | Atlas Health Assessment LLC | Nurse Practitioner | 969 W Gurley St, Prescott, AZ 86305-2817 | 2014-01-21 |
| 1073866406 | Thomas Judah Gann | Nurse Practitioner | 3625 Crossings Dr, Prescott, AZ 86305-7159 | 2012-10-23 |
| Find all providers in PRESCOTT | ||||
Please comment or provide details below to improve the information on MR. RICHARD STEVEN GAFT.
| 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.