Gabriel James Sermon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

379294-1206 Issued in UT

Practice address

212 E 12300 S
Draper, UT 84020-8184

Phone

(801) 571-4666

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castleview Hospital LLCGroup PAC ID 9032021043, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health South Home health agency, Murray, UT, CCN 467342
• Castleview Hospital Hospital, Price, UT, CCN 460011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gabriel.sermon.1@19848.direct.athenahealth.com

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.

• Castleview Hospital, LLC

  dba Castleview Hospital

  • Family Medicine Physician
  • Price, UT
  • NPI 1639253321
  Medicare reassignment Care Compare group NPD
• Castleview Physician Practice LLC

  • Pediatrics Physician
  • Price, UT
  • NPI 1013364884
  Medicare reassignment
• Castleview Physician Practice, LLC

  dba Castle Valley Foot and Ankle

  • Durable Medical Equipment & Medical Supplies
  • Price, UT
  • NPI 1184083156
  NPD
• Castleview Physician Practice, LLC

  dba Ateeq-Ahmed Patel, MD

  • Surgery Physician
  • Price, UT
  • NPI 1396985693
  NPD
• Castleview Physician Practices, LLC

  dba Emery Medical Center

  • Family Medicine Physician
  • Castle Dale, UT
  • NPI 1598082158
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castleview Hospital LLC

  dba Castleview Hospital

  • Rural Acute Care Hospital
  • Price, UT
  • NPI 1417064205
  Care Compare affiliation
• Exemplar Healthcare, Inc.

  dba Symbii Home Health South

  • Home Health Agency
  • Murray, UT
  • NPI 1164901484
  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639299282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E 160 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 12300 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208184",
            "telephone_number": "801-571-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERMON",
        "first_name": "GABRIEL",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "379294-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sebaske
• Yvette Segovia
• Patricia Segui
• Emily Anne Sellers, AMFT
• Sequoia Wellness LLC
• Tracey Sermon
• Emily Setser
• Seida Severiano-Campos
• Sevocation Anesthesia, PLLC
• Amanda Seymour

• Medical Physician Assistant in Draper, UT
• Providers in Draper, UT by specialty
• Medical Physician Assistant in Utah

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.