GREGORY HARLEY PA
NPI 1619962644
Physician Assistant in Wild Rose, WI

Active since September 15, 2005
701 GROVE AVE, WILD ROSE, WI 54984(920) 622-5560 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Harley Pa NPPES

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

GREGORY HARLEY PA (NPI 1619962644) is an individual physician assistant in Wild Rose, Wisconsin, licensed in Wisconsin (585-023) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1619962644
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY HARLEYCredential: PA
Location Address701 GROVE AVEWild Rose, WI 54984-6901
Mailing Address701 Grove AveWild Rose, WI 54984-6901 · (920) 622-5560
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateApril 29, 2014
NPI 1619962644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 585-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 GROVE AVE, Wild Rose, WI 54984

Other Identifiers 4

Medicare OSCAR/certificationP00701371WI
Medicare UPINS20634WI
Medicaid42924200WI
Medicare OSCAR/certification001600513WI

Other Providers at the Same Location NPPES 11

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

Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Nurse Practitioner
701 GROVE AVE
WILD ROSE, WI 54984
Nurse Practitioner
701 GROVE AVE
WILD ROSE, WI 54984
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Family Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Emergency Medicine
701 GROVE AVE
WILD ROSE, WI 54984
Nurse Practitioner (Family)
701 GROVE AVE
WILD ROSE, WI 54984
Physician Assistant
701 GROVE AVE
WILD ROSE, WI 54984

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 Harley's NPI number?

The NPI number for Gregory Harley is 1619962644. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Gregory Harley located?

Gregory Harley practices at 701 Grove Ave, Wild Rose, WI 54984. The listed phone number is (920) 622-5560.

What is Gregory Harley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gregory Harley was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.