CHARLES S GERY JR.


Address: 1802 Braeburn Dr, Suite 1310, Salem, VA 24153-7357
Phone: 5407762020

CHARLES S GERY JR. (NPI# 1962484915) 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) 1962484915
Entity Type Individual
Full Name CHARLES S GERY JR.
Credential PA-C
Practice Address 1802 Braeburn Dr
Suite 1310
Salem
VA 24153-7357
Mailing Address Po Box 277730
Atlanta
GA 30384-7730
Practice Telephone 5407762020
Practice Fax Number 5407762017
Mailing Telephone 6153737600
Enumeration Date 2005-11-16
Last Update Date 2009-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0110840469 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RR P00413631 01
VA 1962484915 05
VA RAILROAD MEDICARE P00453914 01

Office Location

Street Address 1802 BRAEBURN DR
SUITE 1310
City SALEM
State VA
Zip Code 24153-7357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134121338 Mark R Hanabury Jr. Specialist 1802 Braeburn Dr, Salem, VA 24153-7357 2005-06-01
1841851433 Grace Julia Valiulis Physician Assistant 1802 Braeburn Dr, Salem, VA 24153-7357 2019-06-24
1083279376 Olivia Jayne Darwin Physician Assistant 1802 Braeburn Dr, Salem, VA 24153-7357 2019-05-02
1487166088 Christopher Cutchin Coulter Nurse Practitioner 1802 Braeburn Dr, Salem, VA 24153-7357 2017-11-04
1063946358 Kimberly Charise Martin Nurse Practitioner 1802 Braeburn Dr, Salem, VA 24153-7357 2017-04-13
1699215434 Shannon Michelle Snyder Physician Assistant 1802 Braeburn Dr, Salem, VA 24153-7357 2017-02-27
1255875589 Sarah Markwood Nurse Practitioner 1802 Braeburn Dr, Salem, VA 24153-7357 2016-12-06
1437506789 Nicole Crowder Registered Nurse 1802 Braeburn Dr, Salem, VA 24153-7357 2016-05-17
1508228669 Mohammed Abdul Khadar Siddiqui Pediatrics 1802 Braeburn Dr, Salem, VA 24153-7357 2016-03-28
1851757629 Alisha O Lipes Physician Assistant 1802 Braeburn Dr, Salem, VA 24153-7357 2016-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245538990 Megan S Welch Physician Assistant 16 Pelham Rd Ste 1, Salem, NH 03079 2011-03-04
1265971386 Angela Rehder Physician Assistant 875 Oak St Se, Suite 5020, Salem, OR 97301 2017-02-22
1942757224 Rebecca Theisen Physician Assistant 1600 State St, Salem, OR 97301-4257 2016-09-05
1184965253 Casey Lewis Shaw Physician Assistant 1600 State St, Salem, OR 97301-4257 2013-03-13
1093062960 Christopher J Shields Physician Assistant 16 Pelham Rd, Ste 1, Salem, NH 03079-2826 2012-08-10
1851658975 Nicole L Kehrer Physician Assistant 1600 State St, Salem, OR 97301-4257 2012-04-13
1063795003 Kevin Michael Dennis Physician Assistant 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 2011-09-26
1386948347 Timothy Tseng Physician Assistant 1233 Edgewater St Nw, Salem, OR 97304-4049 2011-01-05
1144520453 Melissa Brooke Barone Physician Assistant 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 2010-11-02
1700110616 Dana Nicole Schenker Physician Assistant 1970 Roanoke Blvd, Salem, VA 24153-6404 2009-09-24
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Competitor

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City SALEM
Zip Code 24153

Improve Information

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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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