Gary A Nye, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002893 Issued in NY

Practice address

2233 State Route 86
Adirondack Medical Center
Saranac Lake, NY 12983-5644

Phone

(518) 891-4141

Fax

(518) 891-7044

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255495255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SPLIT ROCK RD",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832608",
            "telephone_number": "518-891-7155",
            "fax_number": "518-523-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 STATE ROUTE 86",
            "address_2": "ADIRONDACK MEDICAL CENTER",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-891-4141",
            "fax_number": "518-891-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Family Physicians
• North Country Healthy Heart Network, Inc
• North Country Home Services, Inc.
• Jessica Lynn Novak, CRNA
• Howard Issac Novick, MD
• Kathleen Jo O'Connell, D.P.M.
• Kelly Rose O'Connor-Kalil, M.A.
• Donnon J O'Neill, D.D.S.
• Rebecca D O'Neill, C.A.S.A.C., M.S.
• Brittany Tyler Olbert, PHARMD

• Physician Assistant in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.