Gary L Belanger in Pensacola - Physician Assistant
Gary L Belanger - NPI 1205879137
Gary L Belanger is a Physician Assistant in Pensacola, Florida. Gary L Belanger practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary L Belanger is 1205879137. The last update date is 2011-11-18.
Gary L Belanger's current location address is 1717 N E St, Pensacola, Florida. You can contact this provider via phone number 8504697975 and fax number 8504692113. The mailing address for Gary L Belanger is 1717 N E St, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Belanger |
|---|---|
| Address | 1717 N E St, Pensacola, Florida |
| Phone Number | 8504697975 |
| Fax Number | 8504692113 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1205879137 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2011-11-18 |
Provider Mailing Address Detail
| Address | 1717 N E St |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325016339 |
| Phone Number | 8504697975 |
| Fax Number | 8504692113 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA279 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 510-50070 | AL | BCBS OF ALABAMA | |
| 528701110 | AL | -- | |
| CA0084 | AL | RR MEDICARE | |
| 51512155 | AL | BLUE CROSS BLUE SHIELD AL |
Post Comment/ Review Below
What is the unique identifier code issued to Gary L Belanger by the Centers for Medicare & Medicaid Services?
The Gary L Belanger has been assigned the NPI (National Provider Identifier) 1205879137. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary L Belanger?
The Gary L Belanger is situated at 1717 N E St, in the city of Pensacola, state of FL, with the zip code 325016339.
What is Gary L Belanger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary L Belanger is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Gary L Belanger receive its 1205879137 assignment from the Centers for Medicare & Medicaid Services?
The Gary L Belanger was assigned its 1205879137 on 2006-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gary L Belanger's details last updated?
The information pertaining to the Gary L Belanger, including its address, specialty, and other details, was most recently updated on 2011-11-18.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA