Kenneth Wayne Gahry, PA-C, MS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004065 Issued in MI

Practice address

5130 Coolidge Hwy
Royal Oak, MI 48073-1001

Phone

(248) 288-9500

Fax

(248) 288-0044

NPI assigned

Sep 27, 2005

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 MI

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Michigan PCGroup PAC ID 5799886313, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

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.

• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1659562262
  Medicare reassignment Care Compare group NPD
• Elizabeth Lake Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1538585260
  Medicare reassignment
• Royal Urgent Care, PLLC

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1952833196
  Medicare reassignment
• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1477745495
  NPD
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1922094689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 CROOKS RD",
            "address_2": "STE 17",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732458",
            "telephone_number": "248-549-1837",
            "fax_number": "248-549-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-288-9500",
            "fax_number": "248-288-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHRY",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Gadway, MD
• Adam J. Gadzinski, M.D.
• Jill Ashley Gadzinski, M.D.
• Jeremy Lawrence Gagan, M.D.
• Joshua Paul Gahan, MD
• Juana Gaiem, PA-C
• Korina Gaishauser, MD
• Mavis Gaisie, MD
• Lisa Amy Galasso, MD
• Whitnie Elizabeth Galati

• Medical Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.