CORY A GALL (NPI# 1821614512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821614512 |
| Entity Type | Individual |
| Full Name | CORY A GALL |
| Credential | PHD |
| Practice Address |
2315 8th St Lewiston ID 83501-7301 |
| Practice Telephone | 2087461383 |
| Practice Fax Number | 2087461383 |
| Mailing Telephone | 2087461383 |
| Mailing Fax Number | 2087461383 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2315 8TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415404 | Christine C Schaller | Family Medicine | 2315 8th St, Lewiston, ID 83501-7301 | 2005-05-31 |
| 1255800462 | Rebecca Lyn Horne | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2018-11-16 |
| 1871033266 | Catalyst Medical Group, Pllc | Durable Medical Equipment & Medical Supplies | 2315 8th St, Lewiston, ID 83501 | 2017-03-03 |
| 1912458787 | Catalyst Medical Group, Pllc | Clinic/Center | 2315 8th St, Lewiston, ID 83501 | 2016-10-17 |
| 1376918383 | Eric Fast | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2015-12-02 |
| 1629450218 | Zachary S Ripley | Family Medicine | 2315 8th St, Lewiston, ID 83501-7301 | 2015-06-19 |
| 1023496908 | Anita Ringering | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2015-05-12 |
| 1356747042 | Danielle Barnes | Physician Assistant | 2315 8th St, Lewiston, ID 83501-7301 | 2014-11-07 |
| 1871900225 | Lynley R James | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2014-07-17 |
| 1629329537 | Stephanie Margaret Carpenter | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7303 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
Please comment or provide details below to improve the information on CORY A GALL.
| 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.