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MR. GREGORY SYMENOW PA-C
NPI 1245516459
Physician Assistant - Medical in Port Huron, MI

Active since November 01, 2011PECOS Enrolled
3550 PINE GROVE AVE, PORT HURON, MI 48060(833) 620-1234 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Sep 8, 2022 (2 updates tracked since 2022).

About Mr. Gregory Symenow Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY SYMENOW PA-C (NPI 1245516459) is an individual medical provider in Port Huron, Michigan, licensed in Virginia (0110003771) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1245516459
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. GREGORY SYMENOWCredential: PA-C
Location Address3550 PINE GROVE AVEPort Huron, MI 48060-1944
Mailing Address12025 Shortleaf LnRockville, VA 23146-1859
Phone(833) 620-1234
Sole ProprietorYes
Enumeration DateNovember 1, 2011
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1245516459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110003771
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-10218 (NC), 5601010944 (MI), 085.008777 (IL), 027730 (NY), 50.007382 (OH)
3550 PINE GROVE AVE, Port Huron, MI 48060
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1600 W North AveMelrose Park, IL 60160-1671 · Phone (833) 620-1234
Location 24400 N High StColumbus, OH 43214-2635 · Phone (833) 620-1234
Location 3109 Genesee StOneida, NY 13421-2703 · Phone (833) 620-1234
Location 410 N Nansemond StRichmond, VA 23221-2768 · Phone (703) 969-9199
Location 51313 W McGalliard RdMuncie, IN 47303-1774 · Phone (765) 216-3115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gregory Symenow Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
150 services150 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services63 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
51 services51 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSHUA CHARLES GIORDANO D.O.
Family Medicine
3550 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 989-2530
MEDEXPRESS URGENT CARE, PC - MICHIGAN
Clinic/Center (Urgent Care)
3550 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 989-2530
NOREEN LOUISE NORTIER PA-C
Physician Assistant
3550 PINE GROVE AVE
PORT HURON, MI 48060
St. Clair County (810) 989-2530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Symenow's NPI number?

The NPI number for Gregory Symenow is 1245516459. It was assigned to this individual provider in the NPPES registry on November 1, 2011.

Where is Gregory Symenow located?

Gregory Symenow practices at 3550 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (833) 620-1234.

What is Gregory Symenow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gregory Symenow enrolled in Medicare?

Yes. Gregory Symenow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Symenow was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.