Provider Demographics
NPI:1700977394
Name:NELMES, GILBERT RICHARD (PA,-C)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:RICHARD
Last Name:NELMES
Suffix:
Gender:M
Credentials:PA,-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BEACH
Mailing Address - State:MD
Mailing Address - Zip Code:20714-9615
Mailing Address - Country:US
Mailing Address - Phone:301-461-3942
Mailing Address - Fax:
Practice Address - Street 1:600 PENNSYLVANIA AVE SE STE 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4344
Practice Address - Country:US
Practice Address - Phone:202-544-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA30106DC363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant