Individual provider Active NPI

Gary Strong, PA-C

  • Medical Physician Assistant
  • Richland, WA
National Provider Identifier
1679643563
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10005045 Issued in WA
Practice address
1305 Fowler St Ste 1C
Richland, WA 99352
Phone
(509) 783-2004
Fax
(509) 783-1949
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10005045 WA Primary

Addresses

Primary practice location

1305 Fowler St Ste 1C
Richland, WA 99352

Mailing address

1305 Fowler St Ste 1C
Richland, WA 99352-4719
Phone (509) 783-2004

Other practice location 1

21600 Highway 99
Suite 280
Edmonds, WA 98026-8012
Phone (425) 774-2616 ext. 295

Other identifiers 2

IdentifierTypeStateIssuer
8942102OtherWADL&I CV#
8357337MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20070122000323 WA Practitioner - Physician Assistant 7719988591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermahealth Dermatology PLLCGroup PAC ID 8729145677, 8 clinicians

Practice addresses (Care Compare)

1295 Fowler St
Richland, WA 99352-4723
Phone (509) 783-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Health Association CurrentSince Jul 1, 2006 Accepting new patients

Locations

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1679643563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FOWLER ST STE 1C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524719",
            "telephone_number": "509-783-2004",
            "fax_number": "509-783-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FOWLER ST STE 1C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-783-2004",
            "fax_number": "509-783-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21600 Highway 99",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268012",
            "country_code": "US",
            "telephone_number": "425-774-2616 x295",
            "fax_number": "425-774-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRONG",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL&I CV#",
            "identifier": "8942102",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8357337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.