Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gregory Symenow, PA-C

Individual provider Physician Assistant · NPI 1245516459

Mr. Gregory Symenow, PA-C is a Physician Assistant in Port Huron, Michigan. Practices as a sole proprietor and works from 6 locations. Licensed in Illinois, Michigan, North Carolina and New York and 2 more.

Licensed in
IL, MI, NC, NY, OH, VA
In the registry since
2011
Specialties on file
6
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3550 Pine Grove Ave
Port Huron, MI 48060-1944
Phone: (833) 620-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 600 W North Ave, Melrose Park, IL 60160-1671 — (833) 620-1234
  • 1313 W McGalliard Rd, Muncie, IN 47303-1774 — (765) 216-3115
  • 109 Genesee St, Oneida, NY 13421-2703 — (833) 620-1234
  • 4400 N High St, Columbus, OH 43214-2635 — (833) 620-1234
  • 10 N Nansemond St, Richmond, VA 23221-2768 — (703) 969-9199

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110003771 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-10218 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 5601010944 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 085.008777 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 027730 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 50.007382 (OH)

Record details

NPI number1245516459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 1, 2011
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

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