Stanford Benjamin Gammon, PA
Stanford Benjamin Gammon, PA is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2013, 13 years ago. Practices with Idaho Physician Services Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 13
- Licensed in
- ID
- In the registry since
- 2013
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
3345 Potomac WayIdaho Falls, ID 83404-4978
Phone: (208) 552-7572
Fax: (208) 552-7312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA-1328 (ID) |
|---|
Record details
| NPI number | 1477992592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 21, 2013 |
| Last updated in NPPES | July 7, 2022 |
| Certification date | July 7, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Idaho Physician Services Inc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Idaho Falls
-
Cody Fowler, PA-C
3345 Potomac Way, Idaho Falls, ID 83404-4978 · (208) 552-7572
-
Mr. Nicholas Hensley, MPAS, PA-C
3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 · (208) 535-4800
-
Trae Pilster, PA-C
2210 Coronado St, Idaho Falls, ID 83404-7552 · (208) 522-3355