Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Gregerson MD PA

Organization Obstetrics & Gynecology Physician · NPI 1902179914

Gary Gregerson MD PA is an Obstetrics & Gynecology Physician in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 12th Ave Rd Ste A
Nampa, ID 83686-6182
Phone: (208) 468-9400
Fax: (208) 468-9447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M-6312 (ID)

Record details

NPI number1902179914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Gregerson — Sole Owner · (208) 468-9400
Other names Advanced Specialty Care For Women
NPI enumeratedFebruary 22, 2012
Last updated in NPPESJanuary 15, 2014
Mailing address1611 12th Ave Road, Suite A, Nampa, ID 83686-6182

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