Gary John Teare, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

98-PA13 Issued in NM

Practice address

3451 N Butler Ave
Farmington, NM 87401

Phone

(505) 566-1915

Fax

(505) 566-1918

NPI assigned

Sep 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759
  NPD (past)
• Utah Navajo Health System, Incorporated

  dba Blanding Family Practice Community Health Center

  • Family Medicine Physician
  • Blanding, UT
  • NPI 1457489486
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1306942792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012357",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEARE",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "98-PA13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25407236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor G Wright PC (Innovation Medical Group)
• Taylor G Wright PC
• Bradley Taylor
• Christopher Warren Taylor, MD
• Clinton Thayne Taylor, LCSW
• Mackenzie Tharrington
• The Hearing Factory Inc.
• The Sleep Center of Farmington
• Janet R Thelen, NP
• Theraplay Pediatric Therapy

• Medical Physician Assistant in Farmington, NM
• Providers in Farmington, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.