GULTASIB KHAN GILL (NPI# 1306125521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306125521 |
| Entity Type | Individual |
| Full Name | GULTASIB KHAN GILL |
| Credential | M.D. |
| Practice Address |
110 Memorial Hospital Dr Huntsville TX 77340-4940 |
| Mailing Address |
520 N 4th St Springfield IL 62702-5238 |
| Practice Telephone | 9362913411 |
| Mailing Telephone | 2177578161 |
| Mailing Fax Number | 2177578161 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R5554 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R5554 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036134399 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125.060613 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 400741101 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 N 4th St, Springfield, IL 627025238 | 2177578161 | 2177578161 |
| 110 Memorial Hospital Dr, Huntsville, TX 773404940 | 9362913411 |
| Street Address |
110 MEMORIAL HOSPITAL DR |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225699 | Walker County Hospital Corporation | General Acute Care Hospital | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2005-06-20 |
| 1245878990 | Huntsville Community Hospital, Inc. | General Acute Care Hospital | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2019-12-12 |
| 1134767882 | Huntsville Community Hospital, Inc. | Rehabilitation Unit | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2019-12-12 |
| 1043777923 | Grace Amah | Nurse Practitioner | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2019-02-27 |
| 1992282701 | Lakewood Arthritis and Osteoporosis Clinic Pllc | Internal Medicine | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2018-07-24 |
| 1972013266 | Community Pathology Associates of Texas | Pathology | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2017-10-02 |
| 1093196529 | Jennifer Reeves | Nurse Practitioner | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2015-06-10 |
| 1619363462 | Anh-linh Dang Bui | Hospitalist | 110 Memorial Hospital Dr, Huntsville, TX 77340 | 2015-04-08 |
| 1336533272 | Sally Shaver | Nurse Practitioner | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2015-03-27 |
| 1477812477 | Sonal Arvind Patel | Hospitalist | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073930251 | Rachel Michelle Giyanani | Emergency Medicine | 100 Washington St Ne, Huntsville, AL 35801-4860 | 2014-03-25 |
| 1720286115 | Angelique A Andrews | Emergency Medicine | 813 Franklin St Se, Huntsville, AL 35801-4311 | 2007-07-06 |
| 1255465142 | Ihc Health Services Inc. | Emergency Medicine | 3925 Snowbasin Rd, Huntsville, UT 84317 | 2007-03-15 |
| 1568548931 | Jon Michael Owings | Emergency Medicine | 111 Jenni Leigh Dr Nw, Huntsville, AL 35806-2209 | 2006-10-28 |
| 1992720387 | Walter D. Toronjo | Emergency Medicine | 521 I-h 45 S., Ste. 11, Huntsville, TX 77340 | 2006-07-13 |
| 1386680965 | Benjamin B Bailey | Emergency Medicine | 3007d Memorial Pkwy Sw, Huntsville, AL 35801-5304 | 2006-06-21 |
| 1083658488 | Madison S Crouch | Emergency Medicine | 5405 Whitesburg Dr S, Huntsville, AL 35802-1644 | 2006-06-15 |
| 1043252463 | Brian J Kempton | Emergency Medicine | 540 Interstate 45 S, Huntsville, TX 77340-5720 | 2006-06-11 |
| 1841239654 | Edward G. Witt | Emergency Medicine | 11220 Memorial Pkwy Sw, Suite Ab, Huntsville, AL 35803-4415 | 2006-06-06 |
| 1316994486 | Henry Morel Gaillard | Emergency Medicine | 2222 Governors Bend Road, Health Services, Inc., Huntsville, AL 35801-1371 | 2006-05-27 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on GULTASIB KHAN GILL.
| 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.