MR. GARY E NELSON (NPI# 1629035795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629035795 |
Entity Type | Individual |
Full Name | MR. GARY E NELSON |
Credential | PA-C |
Practice Address |
150 E Center St Suite 1100 Provo UT 84606-3106 |
Practice Telephone | 8013747011 |
Practice Fax Number | 8013747009 |
Mailing Telephone | 8013747011 |
Mailing Fax Number | 8013747009 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2013-01-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
105991-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 05664 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083088868 | Gary Nelson | Counselor | 8008 Route 130 Bldg A, Ste 206, Delran, NJ 08075-1869 | 2015-11-17 |
1255536454 | Gary Nelson | Counselor | Rr 3 Box 1230, Wilburton, OK 74578-9523 | 2007-06-18 |
1619090834 | Gary L Nelson | Counselor | 14301 County Highway B, Sparta, WI 54656-4509 | 2007-04-10 |
1558423384 | Gary Lee Nelson | Dentist | 274 Delaware Avenue, Delmar, NY 12054 | 2006-12-15 |
1033277629 | Gary H Nelson | Technician/Technologist | 707 Fairmount Ave, Suite 11, Jamestown, NY 14701-2623 | 2006-12-05 |
1700954518 | Gary J Nelson | Dentist | 3350 S 15th E, Idaho Falls, ID 83404-8321 | 2006-12-01 |
1144327396 | Gary G Nelson | Specialist/Technologist | 2580 Mccrays Mill Rd, Sumter, SC 29154-6028 | 2006-09-20 |
1245209634 | Gary Robert Nelson | Family Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-03-16 |
1396290201 | Gary Edwin Nelson | Pharmacist | 1700 Ne 102nd Ave, Portland, OR 97220-3804 | 2016-08-20 |
1558644351 | Gary W Nelson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2011-09-28 |
Street Address |
150 E CENTER ST SUITE 1100 |
City | PROVO |
State | UT |
Zip Code | 84606-3106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821325259 | Katherine Ann Hilton | Social Worker | 150 E Center St, Provo, UT 84606-3106 | 2009-11-05 |
1184701443 | Rebecca Sue Cate | Nurse Practitioner | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-11-01 |
1558477208 | Randall Clifford Hobbs | Dentist | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-08-22 |
1104884253 | Judith A Berry | Nurse Practitioner | 150 E Center St, Suite 1100, Provo, UT 84606-3700 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
Find all providers in zip 84606 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316240575 | James E Carly | Physician Assistant | 280 W Riverpark Dr Ste 120, Provo, UT 84604 | 2010-12-09 |
1851628218 | Robert Andrew Serpico | Physician Assistant | 1375 N University Ave, Provo, UT 84604-2658 | 2009-11-05 |
1588897524 | Alan Taylor Frampton | Physician Assistant | 1750 N Wymount Terrace Drive, Provo, UT 84602-4800 | 2009-08-25 |
1295925642 | Kindra K Jacoby | Physician Assistant | 280 West River Park Dr., Ste. #350, Provo, UT 84604 | 2007-07-31 |
1528271228 | Arnold Brett Davis | Physician Assistant | 1355 North University Ave, Suite 210, Provo, UT 84604 | 2007-05-08 |
1417977505 | Susan R Dyle | Physician Assistant | 619 N 500 W, Provo, UT 84601-1547 | 2006-07-20 |
1689142440 | Brian Todd Spencer | Physician Assistant | 1034 N 500 W, Provo, UT 84604-3380 | 2018-11-08 |
1003334525 | Kelly Marie Daly-wolfe | Physician Assistant | 589 S State St, Provo, UT 84606 | 2017-09-05 |
1982157301 | Rebekah Michelle Hosman | Physician Assistant | 3650 N University Ave, #200, Provo, UT 84604-6656 | 2016-08-02 |
1871960823 | Verdon Reed Walker IIi | Physician Assistant | 589 S State St, Provo, UT 84606-5056 | 2015-08-25 |
Find all providers in PROVO |
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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.