GREGORY PALM (NPI# 1588056782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588056782 |
| Entity Type | Individual |
| Full Name | GREGORY PALM |
| Credential | MS, PA-C |
| Practice Address |
6600 Fish Pond Rd Suite 201 Waco TX 76710-2581 |
| Practice Telephone | 2547529638 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6600 FISH POND RD SUITE 201 |
| City | WACO |
| State | TX |
| Zip Code | 76710-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986112 | Elizbeth Marie Kiraly | Surgery | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2581 | 2005-07-18 |
| 1225548795 | Darrell R. Pietsch, M.d, P.a. | Family Medicine | 6600 Fish Pond Rd, Waco, TX 76710-2581 | 2017-10-10 |
| 1144679028 | Rockdale Blackhhawk, LLC | Durable Medical Equipment & Medical Supplies | 6600 Fish Pond Rd, Suite 202a, Waco, TX 76710-2581 | 2016-06-10 |
| 1265891709 | Austin Brown | Physical Therapist | 6600 Fish Pond Rd, Suite Number 204, Waco, TX 76710-2581 | 2016-02-12 |
| 1013268572 | Justin Deshaun Slaughter | Physical Therapist | 6600 Fish Pond Rd, Waco, TX 76710-2581 | 2012-09-25 |
| 1255689881 | Kayla Renee Davis | Physician Assistant | 6600 Fish Pond Rd, Suite 202a, Waco, TX 76710-2581 | 2012-08-29 |
| 1013179555 | Lori M Anderson | Physical Therapist | 6600 Fish Pond Rd, Suite 204, Waco, TX 76710-2581 | 2008-06-26 |
| 1578767133 | Chad Stephen Conner | Orthopaedic Surgery | 6600 Fish Pond Rd, Suite 201, Waco, TX 76710-2581 | 2007-06-14 |
| 1144424060 | Karen Lynn Burnett | Surgery | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2581 | 2007-06-13 |
| 1376746701 | Waco Bariatric Surgeons | Surgery | 6600 Fish Pond Rd, Suite 101, Waco, TX 76710-2581 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184870701 | Physician Assistant Services of Texas L.l.p | Physician Assistant | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2008-08-14 |
| 1497816938 | Amy Coyle Elliott | Physician Assistant | 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
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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.