MR. GREGORY SYMENOW PA-C NPI 1245516459

NPI Information

NPI: 1245516459
Provider Name: MR. GREGORY SYMENOW, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3550 PINE GROVE AVE
PORT HURON, MI
ZIP 48060
Phone: (833) 620-1234
Get Directions

MR. Gregory Symenow, PA-C is a medical physician assistant in Port Huron, MI with 13 years of experience. MR. Gregory Symenow, PA-C NPI is 1245516459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3550 PINE GROVE AVE
PORT HURON, MI
ZIP 48060-944
Phone: (833) 620-1234

The NPI 1245516459 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2011 and was last updated on 12/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0010-10218	NORTH CAROLINA	No
2	363A00000X	Physician Assistant		5601010944	MICHIGAN	No
3	363A00000X	Physician Assistant		085.008777	ILLINOIS	No
4	363A00000X	Physician Assistant		027730	NEW YORK	No
5	363A00000X	Physician Assistant		50.007382	OHIO	No
6	363AM0700X	Physician Assistant	Medical	0110003771	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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