CHARLES M GILL JR. (NPI# 1265402879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265402879 |
Entity Type | Individual |
Full Name | CHARLES M GILL JR. |
Credential | MD |
Practice Address |
901 Patients First Dr Ste 3400 Washington MO 63090 |
Mailing Address |
901 Patients First Dr Ste 3400 Washington MO 63090-4700 |
Practice Telephone | 6362395155 |
Mailing Telephone | 6362395155 |
Enumeration Date | 2006-01-25 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 2018019483 | MO | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | MD19748 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS | 0092790 | 01 |
TN | 3044902 | 05 | |
TN | RR MEDICARE | 340013304 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1326 S Service Rd W Ste 30, Sullivan, MO 630802306 | 6362395155 | |
1000 E Cherry St, Troy, MO 633791513 | 6362395155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124036066 | Charles Andrus Gill | Dentist | 1200 E Robinson St, Orlando, FL 32801-2116 | 2006-08-04 |
1730702887 | Charles William Lowell Gill | Counselor | 541 N Kirby Ave, Lubbock, TX 79416-4088 | 2020-05-24 |
1083667331 | Charles A Gill | Psychiatry & Neurology | 360 Sherman St, #100, Saint Paul, MN 55102-2564 | 2006-05-18 |
1255391314 | Charles Denver Gill | Nurse Anesthetist, Certified Registered | 142 S Main St, Danville, VA 24541-2922 | 2006-03-24 |
Street Address |
901 PATIENTS FIRST DR STE 3400 |
City | WASHINGTON |
State | MO |
Zip Code | 63090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073041760 | Amanda Heisel | Nurse Practitioner | 901 Patients First Dr Ste 3400, Washington, MO 63090-4700 | 2017-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
Find all providers in zip 63090 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427435130 | Damian Edward Garcher | Urology | 125 N Franklin Dr Ste 3, Washington, PA 15301-5892 | 2015-05-01 |
1245658954 | Boston Medical Group, L.L.C. | Urology | 1020 19th Street N.w., Suite 225, Washington, DC 20006 | 2014-03-31 |
1518385327 | Kenneth R Witmer | Urology | 2150 Pennsylvania Ave Nw Ste 3-417, Washington, DC 20037 | 2014-03-31 |
1831432947 | A Roger Wiederhorn | Urology | 4024 Mansion Ct Nw, Washington, DC 20007-2149 | 2013-03-27 |
1639489016 | John Pirris | Urology | 180 Lemoyne Ave, Washington, PA 15301-3663 | 2010-10-19 |
1306169495 | Frederick B. Hendricks, Md PC | Urology | 2141 K St., Suite 308, Washington, DC 20037 | 2010-03-04 |
1437471992 | Ross E Krasnow | Urology | 110 Irving St Nw Dept Of, Washington, DC 20010-3017 | 2010-02-24 |
1750542429 | Lee Ann Richter | Urology | 106 Irving St Nw Ste Pob 405, National Center for Advanced Pelvic Surgery, Washington, DC 20010-2927 | 2008-06-24 |
1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
1093926032 | Dorota Joanna Hawksworth | Urology | Walter Reed Army Medical Center Urology, 6900 Georgia Ave, Bldg 2, 4th Fl, Washington, DC 20307-0001 | 2007-05-24 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 63090 |
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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.