JENNIFER DRAKE GACKA


Address: 415 Sioux Dr, Mechanicsburg, PA 17050-2594
Phone: 7177615701

JENNIFER DRAKE GACKA (NPI# 1023167822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023167822
Entity Type Individual
Full Name JENNIFER DRAKE GACKA
Credential PA-C
Practice Address 415 Sioux Dr
Mechanicsburg
PA 17050-2594
Practice Telephone 7177615701
Mailing Telephone 7177615701
Enumeration Date 2007-01-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA003590L PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 415 SIOUX DR
City MECHANICSBURG
State PA
Zip Code 17050-2594

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1699151183 Barry Alan Wingard Surgery 1615 Jerusalem Road, Mechanicsburg, PA 17050 2015-08-06
1720488737 Jonathan Thomas Milliron Physical Therapist 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 2014-08-27
1952652554 Behavioral Health PC Counselor 1229 Scenery Dr, Mechanicsburg, PA 17050 2012-09-24
1194091546 John Clinton Stoner Pediatrics 5385 Rivendale Blvd., Mechanicsburg, PA 17050 2012-03-30
1922394634 Mary Ann Nowak Stetz Social Worker 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 2011-06-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134678477 Carolyn Evancho Physician Assistant 3821 Leyland Dr, Mechanicsburg, PA 17050-7640 2016-09-28
1720165046 Greg Scot Forsyth Physician Assistant 940 Century Dr Ste A, Mechanicsburg, PA 17055 2006-11-01
1538140314 Matthew M Dows Physician Assistant 2140 Fisher Rd, Mechanicsburg, PA 17055-5122 2005-11-09
1376548982 Jade Means Physician Assistant 1 Kacey Ct, Suite 101, Mechanicsburg, PA 17055-9223 2005-06-20
1386268795 Lauren O'keefe Physician Assistant 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 2020-06-01
1679984694 Amber M Dagostino Physician Assistant 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 2014-05-13
1760808703 Kelly R Mccracken Physician Assistant 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 2014-03-14
1013346196 Kristin Michele Grover Physician Assistant 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 2013-11-08
1407108897 Paul Martin Schubert Physician Assistant 107 S Sporting Hill Rd, Mechanicsburg, PA 17050-3058 2012-10-09
1992068605 Jeanna M Oburn Physician Assistant 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 2012-06-18
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Competitor

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City MECHANICSBURG
Zip Code 17050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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