DAVID GILLIS (NPI# 1205886991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205886991 |
Entity Type | Individual |
Full Name | DAVID GILLIS |
Credential | DO |
Practice Address |
110 Longwood Ave Rockledge FL 32955-2828 |
Mailing Address |
Po Box 30731 Tampa FL 33630-3731 |
Practice Telephone | 8004768646 |
Practice Fax Number | 9193823210 |
Mailing Telephone | 8004768646 |
Mailing Fax Number | 9193823210 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2008-04-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
OS9767 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | 41677 | 01 |
FL | 275001500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811308976 | David J Gillis | Counselor | 9266 Wilderness Glen Ave, Las Vegas, NV 89178-3502 | 2014-05-12 |
1487867321 | David Anthony Gillis | Physical Therapist | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2007-05-07 |
1528023645 | David Rod Gillis | Physician Assistant | 1600 S Andrews Ave, Atrium Bldg 1st Floor, Fort Lauderdale, FL 33316 | 2006-04-20 |
Street Address |
110 LONGWOOD AVE |
City | ROCKLEDGE |
State | FL |
Zip Code | 32955-2828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192244 | Wuesthoff Emergency Physicians Pa | Emergency Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2005-05-31 |
1962011809 | Sydney Bovender | Dietitian, Registered | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2020-07-27 |
1235663899 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-20 |
1437682127 | Steward Rockledge Hospital, Inc. | Psychiatric Unit | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2017-04-10 |
1306200522 | Rockledge Emergency Group LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-13 |
1538523295 | Rockledge Physician Services, LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-08 |
1497111983 | Infectious Diseases Specialist of Brevard LLC | Internal Medicine | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-01-13 |
1679943740 | John Wesley Rothwell IIi | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-10-02 |
1922484104 | Lucas Marlatt | Nurse Practitioner | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-08-10 |
1447631049 | Ioana Workman | Pharmacist | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2015-06-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
Find all providers in zip 32955 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
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1982224259 | Excalibur Telemedical Services | Emergency Medicine | 405 Waterford Ln, Gulf Breeze, FL 32561-4872 | 2020-04-16 |
1225694953 | Good Care Rehab& Wellness Inc | Emergency Medicine | 885 N Powers Dr Ste B, Orlando, FL 32818-6842 | 2019-05-17 |
1568994556 | Hillard L Chemers | Emergency Medicine | 16145 Craigend Pl, Odessa, FL 33556-2818 | 2017-03-30 |
1790195469 | Albert Carl Maier | Emergency Medicine | 358 County Road 207a, East Palatka, FL 32131-4145 | 2014-05-05 |
1710319413 | Holy Cross Hospital, Inc | Emergency Medicine | 1115 S Federal Hwy, Ft Lauderdale, FL 33316-1256 | 2013-08-05 |
1790035921 | Elizabeth Hernandez | Emergency Medicine | 17121 Sw 281st St, Homestead, FL 33030-1905 | 2012-09-14 |
1821377201 | Urgent Care Physicians of Kendale Lakes LLC | Emergency Medicine | 14661 Sw 56 Street, Miami, FL 33175 | 2011-08-16 |
1316231608 | George T Besong Md Ob/gyn LLC | Emergency Medicine | 2728 Enterprise Rd, Suite 200, Orange City, FL 32763-8276 | 2011-06-03 |
1265662126 | Quick Care Med LLC | Emergency Medicine | 1907 Highway 44 W, Inverness, FL 34453-3801 | 2009-07-24 |
1578705273 | Laurie Ann Romig | Emergency Medicine | 8250 32nd Ave N, St Petersburg, FL 33710-2212 | 2009-03-27 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.