CHARLES M GILL JR.


Address: 901 Patients First Dr Ste 3400, Washington, MO 63090
Phone: 6362395155

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS 0092790 01
TN 3044902 05
TN RR MEDICARE 340013304 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1326 S Service Rd W Ste 30, Sullivan, MO 630802306 6362395155
1000 E Cherry St, Troy, MO 633791513 6362395155

Other Providers CHARLES GILL

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

Office Location

Street Address 901 PATIENTS FIRST DR STE 3400
City WASHINGTON
State MO
Zip Code 63090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073041760 Amanda Heisel Nurse Practitioner 901 Patients First Dr Ste 3400, Washington, MO 63090-4700 2017-05-25

Providers in the same zip code

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 Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WASHINGTON
Zip Code 63090

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Dataset Information

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.

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