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

Mr. Gregory P Mindock, PA-C

Individual provider Physician Assistant · NPI 1790747665

Mr. Gregory P Mindock, PA-C is a Physician Assistant in Richland, Michigan. Qualified in 1997, 29 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

8906 M 89
Richland, MI 49083
Phone: (269) 286-7130
Fax: (269) 286-7131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8450 N 32nd St, Richland, MI 49083-9418 — (269) 226-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601001086 (MI)

Record details

NPI number1790747665
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESNovember 27, 2023
Certification dateOctober 7, 2020
Mailing address5943 Stadium Dr, Ste 1, Kalamazoo, MI 49009-3016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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