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).
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 |
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 |
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 |
Street Address |
777 HOSPITAL WAY SUITE 115 |
City | POCATELLO |
State | ID |
Zip Code | 83201-5175 |
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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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 Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
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. |
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 |
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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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.