GARY W HEATH


Address: 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001
Phone: 8006331905

GARY W HEATH (NPI# 1952317323) 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) 1952317323
Entity Type Individual
Full Name GARY W HEATH
Credential MD
Practice Address 625 East Broadway
St Johns Medical Center Dept of Radiology
Jackson
WY 83001
Mailing Address Po Box 9230
Jackson
WY 83002-9230
Practice Telephone 8006331905
Mailing Telephone 8006331905
Mailing Fax Number 9134910411
Enumeration Date 2006-07-31
Last Update Date 2007-11-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
6361A WY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WYOMING BLUE 310489 01
DEA BH0438273 01
WY MEDICAL LICENSE 6361A 01

Other Providers GARY HEATH

NPI Name Taxonomy Address Enumeration
1053300970 Gary L Heath Anesthesiology 201 Old Hewitt Rd, Ste D, Waco, TX 76712-3548 2005-10-14
1275717126 Gary S Heath Social Worker 3200 Fishback Rd, Carbondale, IL 62901-6307 2007-12-27
1104981653 Gary D Heath Social Worker 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 2006-12-26
1043287261 Gary Heath Physician Assistant 2501 Pierce St, Sioux City, IA 51104-3725 2006-03-07

Office Location

Street Address 625 EAST BROADWAY
ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY
City JACKSON
State WY
Zip Code 83001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316979057 William David Hamilton Nurse Anesthetist, Certified Registered 625 East Broadway, Jackson, WY 83001 2006-07-06
1881896694 Teton County Hospital District General Acute Care Hospital 625 East Broadway, Jackson, WY 83001 2007-06-04
1215064985 Teton County Hospital District Skilled Nursing Facility 625 East Broadway, Jackson, WY 83001-8642 2007-02-28
1700990777 Robert C Berlin Radiology 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 2006-08-18
1417061482 Christopher Sean Haling Radiology 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 2006-08-18
1689788655 Thomas J Wilson Radiology 625 East Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 2006-08-18
1184656191 Jean Ann Hamilton Nurse Anesthetist, Certified Registered 625 East Broadway, Jackson, WY 83001 2006-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
Find all providers in zip 83001

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063890754 Phil Otis Nelson Jr. Radiology 146 Ridge Dr, Jackson, MS 39216-4109 2015-05-13
1891030946 Cherry Hill Radiology Pllc Radiology 401 Redfield Dr, Jackson, TN 38305-8555 2012-11-30
1245414275 Breathit County Imaging Center Radiology 1389 Ky Hwy 15 North, St. John Newmans Medical Plaza, Jackson, KY 41339 2007-12-27
1407933930 Karen Collette Jensen Radiology 14 Adams Road, Jackson, NH 03846 2006-11-01
1770676801 Gerald O Daniel Radiology 708 W Forest Avenue, Jackson, TN 38301 2006-10-02
1497761837 Arlin George Hatfield IIi Radiology 1405 North State Street, Suite 200, Jackson, MS 39202 2006-07-31
1225083942 Robert Houston Hardin Jr. Radiology 2210 Heritage Hill Dr, Jackson, MS 39211-5821 2006-05-23
1881655967 Jane Warne Brown Radiology 91 Stonehaven Cir, Jackson, TN 38305-1945 2006-03-29
1780645028 Andrew Laurence Rivard Radiology 2500 State Street, University of Mississippi Medical Center, Jackson, MS 39216 2006-03-28
1013985134 John A. Sullivan Radiology 7330 Ryegrass Road, Jackson, WY 83001 2006-03-14
Find all providers in JACKSON

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City JACKSON
Zip Code 83001

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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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