DR. GREGORY S HARRISON


Address: 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175
Phone: 2082392260

DR. GREGORY S HARRISON (NPI# 1104825892) 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) 1104825892
Entity Type Individual
Full Name DR. GREGORY S HARRISON
Credential M.D.
Practice Address 777 Hospital Way
Suite 115
Pocatello
ID 83201-5175
Mailing Address Po Box 4168
Pocatello
ID 83205-4168
Practice Telephone 2082392260
Practice Fax Number 2082393767
Mailing Telephone 2082392055
Mailing Fax Number 2082393754
Enumeration Date 2005-07-15
Last Update Date 2013-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery M11193 ID Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 44711 MN Allopathic & Osteopathic Physicians

Other Providers GREGORY HARRISON

NPI Name Taxonomy Address Enumeration
1104829456 Gregory Erron Harrison Dentist 1801 4th Ave, Canyon, TX 79015-3853 2005-05-31
1194096875 Gregory Harrison Specialist/Technologist 1350 Broadcasting Rd, 201, Wyomissing, PA 19610-3229 2012-01-26
1225071343 Gregory Wade Harrison Optometrist 1900 Preston Rd, Suite 265, Plano, TX 75093-5175 2006-06-14

Office Location

Street Address 777 HOSPITAL WAY
SUITE 115
City POCATELLO
State ID
Zip Code 83201-5175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801401344 Sunny Blue Alene Nelson Physician Assistant 777 Hospital Way, Pocatello, ID 83201-5175 2020-09-11
1316570757 Mark Alan Pendleton Nurse Anesthetist, Certified Registered 777 Hospital Way, Pocatello, ID 83201-5175 2020-02-13
1508413220 Hilary Worthen Specialist/Technologist 777 Hospital Way, Pocatello, ID 83201-5175 2019-08-19
1437612447 Walter S Medlin Md PC Surgery 777 Hospital Way, Pocatello, ID 83201-5175 2019-04-08
1396203428 Amber Frost Family Medicine 777 Hospital Way, Pocatello, ID 83201-5175 2019-03-07
1649756404 Kamilla Gundersen Nurse Practitioner 777 Hospital Way, Pocatello, ID 83207 2018-07-16
1043716285 Brice Anderson Specialist/Technologist 777 Hospital Way, Pocatello, ID 83201-5175 2018-04-05
1851808133 Rocky Mountain Physician Group LLC Emergency Medicine 777 Hospital Way, Pocatello, ID 83201-5175 2018-01-08
1154838886 Mark Willis Nurse Practitioner 777 Hospital Way, Pocatello, ID 83201-5175 2018-01-03
1588187892 Rachel Goulart Physician Assistant 777 Hospital Way, Pocatello, ID 83201-5175 2017-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245603505 Scott Huneycutt Md Pllc Neurological Surgery 2240 E Center St Ste A, Pocatello, ID 83201-2600 2015-11-09
1225432313 Teton Spine, Pllc Neurological Surgery 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 2014-10-17
1669874012 Teton Spine Pllc Neurological Surgery 333 N 18th Ave, Suite B4, Pocatello, ID 83201 2014-09-17
1225262306 Jonathan T Morgan Neurological Surgery 333 N 18th Ave, Suite B4, Pocatello, ID 83201 2009-05-05
1699940346 Spineidaho Pllc Neurological Surgery 2240 E Center St, Pocatello, ID 83201 2008-04-24
1902835986 Intermountain Neurosurgery, P.a. Neurological Surgery 500 S 11th Ave, Suite 504, Pocatello, ID 83201-4835 2006-07-01
1003800699 William Scott Huneycutt Neurological Surgery 2240 E Center St, Pocatello, ID 83201 2005-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992049696 William Bradford Delong Neurological Surgery 222 Blue Ridge Ct, Orofino, ID 83544-9019 2012-11-19
1932373453 Michael Raber Neurological Surgery 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4960 2008-04-15
1578743522 Richard Lochhead Neurological Surgery 6140 W. Curtisian Ave, Ste 400, Boise, ID 83604-8907 2007-11-07
1649353947 Jeffrey J Larson Neurological Surgery 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 2006-10-23
1962592022 Robert Lee Cach Neurological Surgery 2375 E Sunnyside Rd Ste G, Idaho Falls, ID 83404-8281 2006-10-12
1558457572 Stephen R Marano Neurological Surgery 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 2006-10-05
1962508366 Bret A Dirks Neurological Surgery 850 W Ironwood Dr Suite 300, Coeur Dalene, ID 83814 2006-09-15
1558472910 Jeffrey Dean Mcdonald Neurological Surgery 980 W Ironwood Drive, #206, Coeur D Alene, ID 83814 2006-08-31
1497788160 William Francis Ganz Neurological Surgery 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814-4960 2006-07-08
1134155666 Brent H. Greenwald Neurological Surgery 3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 2006-06-25
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Competitor

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City POCATELLO
Zip Code 83201

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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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