GARY GREGERSON MD PA


Address: 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182
Phone: 2084689400

GARY GREGERSON MD PA (NPI# 1902179914) 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) 1902179914
Entity Type Organization
Organization Name GARY GREGERSON MD PA
Other Organization Name ADVANCED SPECIALTY CARE FOR WOMEN
Practice Address 1611 12th Ave Road
Suite A
Nampa
ID 83686-6182
Practice Telephone 2084689400
Practice Fax Number 2084689447
Mailing Telephone 2084689400
Mailing Fax Number 2084689447
Enumeration Date 2012-02-22
Last Update Date 2014-01-15
Authorized Official Name GARY N GREGERSON (SOLE OWNER)
Authorized Official Telephone 2084689400
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology M-6312 ID Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Advanced Specialty Care for Women Doing Business As Name - Organization

Office Location

Street Address 1611 12TH AVE ROAD
SUITE A
City NAMPA
State ID
Zip Code 83686-6182

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1437504909 5 Peppers Inc Family Medicine 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 2016-05-03
1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1144699307 Jamie Green Social Worker 112 12th Avenue Rd., Nampa, ID 83686 2015-09-17
1174927933 Bower Chiropractic Inc Chiropractor 304 12th Ave Rd, Nampa, ID 83686 2014-10-22
1285037093 Rosemary Phelps Registered Nurse 353 W. Iowa, Nampa, ID 83686 2014-10-07
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609222355 Brennan Anderson Obstetrics & Gynecology 4424 E Flamingo Ave Ste 200, Nampa, ID 83687-9300 2016-05-12
1770513228 Dustan Thomas Hughes Obstetrics & Gynecology 1611 B 12th Ave Rd, Lifestages Obgyn, Nampa, ID 83686 2006-07-03
1588084453 Jeffery Reese Obstetrics & Gynecology 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 2014-04-18
1255762506 Gary Gregerson, M.d., P.a. Obstetrics & Gynecology 1611 12th Ave Rd, Suite A, Nampa, ID 83686-7715 2013-12-11
1487092292 Ryan Pettit Obstetrics & Gynecology 4424 E Flamingo, Ste 200, Nampa, ID 83687 2013-06-13
1700105921 Melissa Germany Arnold Obstetrics & Gynecology 9850 W St Lukes Dr Ste 129, Nampa, ID 83687-7912 2010-05-27
1881828010 Guillermo M Guzman Trevino Obstetrics & Gynecology 4424 E Flamingo, Suite 200, Nampa, ID 83687-9300 2009-05-01
1285757104 Megan E Kasper Obstetrics & Gynecology 9850 St Lukes Dr, Nampa, ID 83687-7912 2007-04-07
1871618892 Lifestages Ob-gyn Pllc Obstetrics & Gynecology 1611 12th Ave Rd Ste B, Nampa, ID 83686-6182 2007-03-20
1053467852 Linda Kay Walker Obstetrics & Gynecology 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 2007-01-25
Find all providers in NAMPA

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City NAMPA
Zip Code 83686

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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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