MARIAN GAKES PA-C NPI 1619151214

NPI Information

NPI: 1619151214
Provider Name: MARIAN GAKES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1031 BELLEVUE AVE
SUITE 280
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 647-9444
Get Directions

Marian Gakes, PA-C is a medical physician assistant in Saint Louis, MO. Marian Gakes, PA-C NPI is 1619151214. 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:

1031 BELLEVUE AVE
SUITE 280
SAINT LOUIS, MO
ZIP 63117-818
Phone: (314) 647-9444
Fax: (314) 647-7317

The enumeration date for this NPI number is 12/19/2007 and was last updated on 4/5/2010.

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	363AM0700X	Physician Assistant	Medical	106557	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000085208	MEDICARE PIN	MISSOURI

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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