JESSICA MARIE GREGOR


Address: 4881 Sugar Maple Dr, Dayton, OH 45433-5529
Phone: 9372570837

JESSICA MARIE GREGOR (NPI# 1891347662) 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) 1891347662
Entity Type Individual
Full Name JESSICA MARIE GREGOR
Other Name JESSICA MARIE BLOSSOM
Credential PA-C
Practice Address 4881 Sugar Maple Dr
Dayton
OH 45433-5529
Mailing Address 2940 Thames Ln
Beavercreek
OH 45430-1958
Practice Telephone 9372570837
Mailing Telephone 2103740362
Enumeration Date 2019-07-11
Last Update Date 2019-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA GREGOR

NPI Name Taxonomy Address Enumeration
1184979643 Jessica Wind Gregor Speech-Language Pathologist 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 2012-07-19

Office Location

Street Address 4881 SUGAR MAPLE DR
City DAYTON
State OH
Zip Code 45433-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821611989 Se Ha Park Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-05-24
1841812898 George Manoj Paul Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-05-13
1053949198 Jacob Aaron Freeze Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-04-01
1326672619 Caleb Evan Mcclary Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-02-26
1730729542 Alan Eric Piper Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-01-09
1073161147 Kristin Kim Dentist 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-08-30
1225681117 Kaleb Aaron Specht Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-07-19
1134785165 Ethan Wilston Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-05-15
1700381522 Zachary Gordon Candela Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2018-03-25
1285135145 Brant William Bickford Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2018-02-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891289518 Sara Lyons Physician Assistant 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2018-06-16
1073001558 Mega Margapuram Student in an Organized Health Care Education/Training Program 1 Sugar Maple Drive, Dayton, OH 45433 2018-04-30
1437667979 Michael Peter Dring Social Worker Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 2018-01-18
1316486814 Josiah Hardin Internal Medicine 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2017-02-16
1780137380 Allison Osterfeld Pharmacist 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 2016-07-29
1891144283 Kyle Harris Student in an Organized Health Care Education/Training Program 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 2016-06-07
1245601756 Nichole Griep Audiologist 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2015-10-09
1487021267 Melanie Schaffer Dietitian, Registered 4881 Sugamaple Drive, Wpafb, OH 45433 2015-08-27
1831582261 Joseph K Wray General Practice 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2015-03-10
1659798031 Maninder Kaur Nurse Practitioner 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 2014-03-24
Find all providers in zip 45433

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091241 Beau Webb Physician Assistant 6017 Cruxten Dr, Dayton, OH 45424-3702 2020-10-18
1043838782 Marie Therese Mualla Oram Physician Assistant 204 Sears St Apt 518, Dayton, OH 45402-1573 2020-07-09
1720542509 Herodina Ibanez Lu Physician Assistant 1 Elizabeth Pl Nwb Ste 15, Dayton, OH 45417-3445 2019-01-25
1427585819 Mita Morar Physician Assistant 938 Olde Sterling Way, Dayton, OH 45459-3100 2017-05-16
1306394275 Danielle Elizabeth Tirjer Cleary Physician Assistant 320 Judith Dr, Dayton, OH 45429-5306 2016-09-20
1831555234 Lisa Byers Physician Assistant 7980 N Main St, Dayton, OH 45415-2328 2016-01-14
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1104201730 Dominique Hunt Physician Assistant 5300 Far Hills Ave Ste 300, Dayton, OH 45429-2381 2015-07-24
1285025957 Holly Griffin Physician Assistant 4340 Clyo Rd, Dayton, OH 45459-7000 2015-02-16
1073885216 Shawn Breeding Physician Assistant 627 Edwin C. Moses Blvd, Suite K, Dayton, OH 45417-3474 2012-02-03
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45433

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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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