AMANDA LYNN GANO (NPI# 1083926505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083926505 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN GANO |
| Other Name | AMANDA LYNN AULT |
| Credential | PA-C |
| Practice Address |
845 William Hilton Pkwy Hilton Head SC 29928-3404 |
| Mailing Address |
33 Water Tupelo Ln Bluffton SC 29910-7681 |
| Practice Telephone | 8433212416 |
| Mailing Telephone | (607) 483-8550 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2684 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053995 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2005 Knight Lane, Bldg H Navy Medicine Support Command, Jacksonville, FL 322120140 | 9045427200 |
| Street Address |
845 WILLIAM HILTON PKWY |
| City | HILTON HEAD |
| State | SC |
| Zip Code | 29928-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053650069 | Doctors Care Sc, Pa | Emergency Medicine | 845 William Hilton Pkwy, Hilton Head, SC 29928-3404 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156683 | Donna Lynn Farrell | Counselor | 40 Folly Field Road, C 251, Hilton Head Island, SC 29928 | 2019-10-26 |
| 1316368400 | Kara Dunn | Pharmacist | 38 Shelter Cove Lane, Hilton Head Island, SC 29928 | 2013-12-17 |
| 1821347782 | Grant Golden Mckinley | Dentist | 2 Park Lane, Suite 302, Hilton Head, SC 29928 | 2012-09-06 |
| 1366791758 | Brockton Lamar Weisenberger | Family Medicine | 63 Planters Row, Hilton Head Island, SC 29928 | 2012-08-31 |
| 1578887147 | William Robert Jarvis | Pediatrics | 135 Dune Lane, Hilton Head Island, SC 29928 | 2010-03-25 |
| 1508906447 | Seabrook of Hilton Head, Inc | Skilled Nursing Facility | 300 Woodhaven Dr, Hilton Head Island, SC 29928 | 2007-02-08 |
| 1649319930 | Optical Solutions | Eyewear Supplier (Equipment, not the service) | W32 Plaza At Shelter Cove, Hilton Head Island, SC 29928 | 2007-02-05 |
| 1609964964 | Island Sleep Lab LLC | Clinic/Center | 58 Shelter Cove Lane, Suite E1, Hilton Head Island, SC 29928 | 2006-10-11 |
| 1598782435 | Lee Everett Oppenheimer | Dentist | 23b Shelter Cove Ln., Suite 200, Hilton Head Island, SC 29928 | 2006-07-16 |
| 1619227980 | Cynthia E Carlson | Pharmacist | 10 Pope Ave, Hilton Head, SC 29928 | 2012-09-14 |
| Find all providers in zip 29928 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD |
| Zip Code | 29928 |
Please comment or provide details below to improve the information on AMANDA LYNN GANO.
| 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.