MR. GARY E NELSON


Address: 150 E Center St, Suite 1100, Provo, UT 84606-3106
Phone: 8013747011

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
UT 05664 05

Other Providers GARY NELSON

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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

Office Location

Street Address 150 E CENTER ST
SUITE 1100
City PROVO
State UT
Zip Code 84606-3106

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PROVO
Zip Code 84606

Improve Information

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Dataset Information

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.

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