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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA003590L | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
415 SIOUX DR |
City | MECHANICSBURG |
State | PA |
Zip Code | 17050-2594 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
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 |
Find all providers in zip 17050 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers in MECHANICSBURG |
City | MECHANICSBURG |
Zip Code | 17050 |
Please comment or provide details below to improve the information on JENNIFER DRAKE GACKA.
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.