ELAINE LYNETTE GADE PA-C NPI 1912466558

NPI Information

  • NPI: 1912466558
  • Provider Name: ELAINE LYNETTE GADE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2345 E SOUTHERN AVE
    MESA, AZ
    ZIP 85204
  • Phone: (808) 932-3454

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NPI Details

Elaine Lynette Gade, PA-C is a medical physician assistant in Mesa, AZ. Elaine Lynette Gade, PA-C NPI is 1912466558. 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:

2345 E SOUTHERN AVE
MESA, AZ
ZIP 85204-419
Phone: (808) 932-3454
Fax: (480) 926-0495

The NPI 1912466558 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 3/13/2019 and was last updated on 8/2/2023.

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
1363AM0700XPhysician AssistantMedical8254ARIZONAYes

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: 11/21/2025

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