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

Mr. Gabriel J Sidor

Individual provider Medical Physician Assistant · NPI 1790473569

Mr. Gabriel J Sidor is a Physician Assistant in Muskegon, Michigan. Qualified in 2024, 2 years ago. Practices with Mercy Health Westshore Cardiology Services, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone: (231) 672-3883
Fax: (231) 672-3973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6348 Spruce Ridge Rd, Bear Lake, MI 49614-9703 — (231) 383-1225

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601012514 (MI)

Record details

NPI number1790473569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address6348 Spruce Ridge Rd, Bear Lake, MI 49614-9703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mercy Health Westshore Cardiology Services — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Muskegon