DR. GARY LEE FILLMORE (NPI# 1265413769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265413769 |
Entity Type | Individual |
Full Name | DR. GARY LEE FILLMORE |
Credential | M.D. |
Practice Address |
9911 N Nevada St Ste B Spokane WA 99218 |
Mailing Address |
9911 N Nevada St Ste B Spokane WA 99218-1298 |
Practice Telephone | 5094845710 |
Practice Fax Number | 5094871000 |
Mailing Telephone | 5094845710 |
Mailing Fax Number | 5094871000 |
Enumeration Date | 2005-11-10 |
Last Update Date | 2018-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | MD00049255 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | CRIME VICTIMS' COMPENSATION | 8949273 | 01 |
DRUG ENFORCEMENT ADMINISTRATION | FF0480462 | 01 | |
WA | MEDICARE PTAN | G8874801 | 01 |
WA | 8509440 | 05 | |
WA | PHYSICIAN AND SURGEON LICENSE | MD00049255 | 01 |
WA | DEPT OF LABOR AND INDUSTRIES | 0239190 | 01 |
ID | 808422000 | 05 | |
RAILROAD MEDICARE | P00642793 | 01 |
Street Address |
9911 N NEVADA ST STE B |
City | SPOKANE |
State | WA |
Zip Code | 99218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902071392 | Eye Consultants, P.s. | Clinic/Center | 9911 N Nevada St Ste B, Spokane, WA 99218-1298 | 2008-04-25 |
1477621191 | Michael Edward Derzay | Optometrist | 9911 N Nevada St Ste B, Spokane, WA 99218-1298 | 2006-12-01 |
1750459475 | Sara Anne Edmons | Optometrist | 9911 N Nevada St Ste B, Spokane, WA 99218-1298 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
Find all providers in zip 99218 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437429313 | Ottiwell Wood Jones IIi | Ophthalmology | 202 E High Dr, Spokane, WA 99203-2811 | 2012-01-09 |
1053637702 | Northwest Eyelid and Orbital Specialists, P.s. | Ophthalmology | 626 S Sheridan St, Spokane, WA 99202-1325 | 2010-04-20 |
1811191372 | Jonathan G Haymore | Ophthalmology | 842 S. Cowley Street, Suite 1, 2, 3, Spokane, WA 99202 | 2007-06-11 |
1841405404 | Kevin Scott Michels | Ophthalmology | 626 S. Sheridan St, Spokane, WA 99202-1234 | 2007-05-14 |
1386712008 | David Nemser Cohen | Ophthalmology | 235 E Rowan Ste #107, Spokane, WA 99207-1240 | 2006-12-01 |
1982773313 | Eye Consultants Ps | Ophthalmology | 235 E Rowan, Suite #107, Spokane, WA 99207-1240 | 2006-11-07 |
1821075516 | Michael H Cunningham Sr. | Ophthalmology | 842 S Cowley St, Suite 1, 2, 3, Spokane, WA 99202-1234 | 2005-12-23 |
1558363911 | Cynthia L Cilyo | Ophthalmology | 510 S Cowley St, Spokane, WA 99202-1332 | 2005-08-15 |
1538160437 | Leachman Eye Institute, P.s. | Ophthalmology | 6419 N Monroe St, Spokane, WA 99208-4121 | 2005-08-02 |
1295733541 | Fiona Jane Durcan | Ophthalmology | 427 S Bernard St, Spokane, WA 99204-2509 | 2005-07-11 |
Find all providers in SPOKANE |
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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.