Mr. John C. Gullage, PA-C
Mr. John C. Gullage, PA-C is a Physician Assistant in Lebanon, Missouri. Qualified in 1987, 39 years ago. Practices with Lake Regional Health System, a 131-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri, Nebraska and Washington.
- Years since qualifying
- 39
- Licensed in
- MO, NE, WA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
331 Hospital Dr Ste ALebanon, MO 65536-9251
Phone: (417) 533-6560
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 3050 E River Bluff Blvd, Ozark, MO 65721-8807 — (417) 820-5610
- 608 Old Route 66, Saint Robert, MO 65584-3730 — (573) 336-2351
- 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 — (206) 526-8444
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 2013029322 (MO) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA10002052 (WA) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 1999 (NE) |
Record details
| NPI number | 1558399923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 28, 2006 |
| Last updated in NPPES | March 17, 2021 |
| Certification date | March 17, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Group practice | Lake Regional Health System — 131 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |