Provider Type Icon

GARY GREGERSON MD PA NPI 1902179914


NPI Information

NPI: 1902179914
Provider Name: GARY GREGERSON MD PA

Doing Business As: ADVANCED SPECIALTY CARE FOR WOMEN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1611 12TH AVE ROAD
SUITE A
NAMPA, ID
ZIP 83686
Phone: (208) 468-9400
Get Directions

GARY GREGERSON MD PA is an obstetrics gynecology in Nampa, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GARY GREGERSON MD PA NPI is 1902179914. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Specialty Care For Women.

The provider's business location address is:

1611 12TH AVE ROAD
SUITE A
NAMPA, ID
ZIP 83686-182
Phone: (208) 468-9400
Fax: (208) 468-9447

The provider's authorized official is Gary N Gregerson .
The authorized official title is Sole Owner and has the following contact phone number (208) 468-9400.

The enumeration date for this NPI number is 2/22/2012 and was last updated on 1/15/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyM-6312IDAHOYes

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

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.