Mary E Gdula (NPI# 1124092242, PAC ID# 9335157379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124092242 |
| PAC ID by PECOS | 9335157379 |
| Professional Enrollment ID | I20060403000026 |
| Full Name | Mary E Gdula |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Address |
1 Clinic Rd Grand Canyon AZ 86023 |
| Phone Number | 9285229804 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820981053 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030023 | FLAGSTAFF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Clinic Rd, Grand Canyon, AZ 86023 | 9285229804 | NORTH COUNTRY HEALTHCARE INC |
| Organization Legal Name | NORTH COUNTRY HEALTHCARE INC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheilkeela S Howard-gurley | Nurse Practitioner | North Country Healthcare Inc | 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 |
| Diana Mcnally | Nurse Practitioner | North Country Healthcare Inc | 1510 N Stockton Hill Rd, Kingman, AZ 86401-5173 |
| Elizabeth Miller | Nurse Practitioner | North Country Healthcare Inc | 2650 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7955 |
| Sarah A Stoit | Nurse Practitioner | North Country Healthcare Inc | 301 S 7th St, Williams, AZ 86046-2324 |
| Rebecca Lietzow | Nurse Practitioner | North Country Healthcare Inc | 708 S Coeur D Alene Lane B, Payson, AZ 85541-5662 |
| Patti W Mugo | Family Medicine | North Country Healthcare Inc | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 |
| Flint C Hales | Family Medicine | North Country Healthcare Inc | 625 N 13th, Saint Johns, AZ 85936 |
| Timothy L Jackson | Physician Assistant | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Jane E Dill | Family Medicine | North Country Healthcare Inc | 1120 W University Ave, Suite 101, Flagstaff, AZ 86001-2851 |
| Elaine M Accomando | Physician Assistant | North Country Healthcare Inc | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Street Address |
1 CLINIC RD |
| City | GRAND CANYON |
| State | AZ |
| Zip | 86023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy L Jackson | Physician Assistant | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Sybil Head | Physical Therapy | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Kimberly A Callahan | Nurse Practitioner | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Victoria D Noack | Physical Therapy | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023-0290 |
| Richard A Gibula | Family Practice | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023 |
| Kristi B Kolek | Physician Assistant | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023 |
| Naquita Ahern | Physical Therapy | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023 |
| Kristi Andreassen | Physical Therapy | North Country Healthcare Inc | 1 Clinic Rd, Grand Canyon, AZ 86023 |
| City | GRAND CANYON |
| Zip Code | 86023 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAND CANYON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary E Gdula.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.