MR. GREGORY A SHARP (NPI# 1639179898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639179898 |
| Entity Type | Individual |
| Full Name | MR. GREGORY A SHARP |
| Credential | PA |
| Practice Address |
580 Providence Park Dr E Fl 2 Mobile AL 36695-4614 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 2516313570 |
| Practice Fax Number | 2516313572 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA167 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051516233 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8573 County Road 64, Daphne, AL 365268706 | 2516212244 | 2516217209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376604843 | Gregory D. Sharp | Pain Medicine | 4140 Meridian Street, Suite 200, Bellingham, WA 98226-5576 | 2006-12-12 |
| 1679564827 | Gregory Evan Sharp | Family Medicine | 335 Manitou Ave, Manitou Springs, CO 80829-2537 | 2005-11-04 |
| 1669562229 | Gregory Sharp | Psychiatry & Neurology | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1932219870 | Gregory N Sharp | Internal Medicine | 904 7th Ave, Seattle, WA 98104-1132 | 2006-08-30 |
| 1295756153 | Gregory H Sharp | Pathology | 111 Colchester Ave, Fletcher Allen Health Care - Pathology, Burlington, VT 05401-1473 | 2006-07-23 |
| Street Address |
580 PROVIDENCE PARK DR E FL 2 |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366936759 | Forefront Dermatology, S.c. | Dermatology | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2018-06-19 |
| 1295172989 | Erin M Risco | Nurse Practitioner | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2013-06-04 |
| 1063761500 | Alexandra Alabata Ingram | Physician Assistant | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2012-08-30 |
| 1770732166 | Elizabeth A. Simpson | Physician Assistant | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2008-09-10 |
| 1316029630 | Kellie S. Toth | Physician Assistant | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2006-10-19 |
| 1013994011 | Jessica S Davis | Physician Assistant | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2005-12-30 |
| 1639163298 | Cary L. Dunn | Dermatology | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| 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 |
|---|---|---|---|---|
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 1588291785 | Lakendra Chevoyn Wiley | Physician Assistant | 320 Stanton Rd Apt 235, Mobile, AL 36617-2449 | 2020-03-26 |
| 1053958785 | Courtney Teal Schmerbauch | Physician Assistant | 3715 Dauphin St Ste 1100, Mobile, AL 36608-1785 | 2019-12-02 |
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1699296145 | Jessica A Kantrales | Physician Assistant | 101 Memorial Hospital Dr Ste 200, Mobile, AL 36608-1787 | 2017-07-05 |
| 1730572835 | Allison Hinson | Physician Assistant | 600 Clinic Dr Ste 332, Mobile, AL 36688-0001 | 2015-03-13 |
| 1467701474 | Angela Dugger | Physician Assistant | 610 Providence Park Dr E Ste 102, Mobile, AL 36695-4618 | 2012-09-05 |
| 1598775330 | Myrtle Olivia Stephens | Physician Assistant | 117 Mohawk St, Mobile, AL 36606-1941 | 2006-08-08 |
| 1063488153 | Diane Dixon Abercrombie | Physician Assistant | 307 University Blvd., Hsb Suite 1200, Mobile, AL 36688-0001 | 2006-02-27 |
| Find all providers in MOBILE | ||||
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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.