KERRY GREGORY PA NPI 1306904966

NPI Information

NPI: 1306904966
Provider Name: KERRY GREGORY, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
600 RIDGELY AVE
SUTIE 130
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-8049
Get Directions

Kerry Gregory, PA is a surgical physician assistant in Annapolis, MD with 18 years of experience. Kerry Gregory, PA NPI is 1306904966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 RIDGELY AVE
SUTIE 130
ANNAPOLIS, MD
ZIP 21401-001
Phone: (410) 266-8049
Fax: (410) 266-0895

The NPI 1306904966 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 12/5/2006 and was last updated on 3/8/2010.

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		1070062	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	C03923	MARYLAND	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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