MR. GARRETT RYAN GUNDRY PA-C NPI 1407373640

NPI Information

NPI: 1407373640
Provider Name: MR. GARRETT RYAN GUNDRY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: FAMILY HEALTH CARE OF POST FALLS, PLLC

PECOS Registration: Yes

Address:
1110 E POLSTON AVE STE 1
POST FALLS, ID
ZIP 83854
Phone: (208) 773-1311
Get Directions

MR. Garrett Ryan Gundry, PA-C is a medical physician assistant in Post Falls, ID with 7 years of experience. MR. Garrett Ryan Gundry, PA-C NPI is 1407373640. 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:

1110 E POLSTON AVE STE 1
POST FALLS, ID
ZIP 83854-139
Phone: (208) 773-1311
Fax: (208) 773-1644

The NPI 1407373640 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 8/28/2017 and was last updated on 8/28/2017.

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	363AM0700X	Physician Assistant	Medical		IDAHO	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »