CHARLES ANDREW GILLILAND (NPI# 1366646192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366646192 |
| Entity Type | Individual |
| Full Name | CHARLES ANDREW GILLILAND |
| Credential | MD |
| Practice Address |
613 23rd St Ste G30 Ashland KY 41101-2878 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6063270036 |
| Practice Fax Number | 6063291159 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 44777 | KY | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
24275 | WV | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
44777 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0053178 | 05 | |
| KY | 7100176900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346587730 | Charles V Gilliland | Orthopaedic Surgery | 34 Via Capri, Rancho Palos Verdes, CA 90275-5372 | 2013-01-06 |
| 1558584086 | Charles Arthur Gilliland Iv | Radiology | 1984 Peachtree Road, Suite 505, Atlanta, GA 30309-5219 | 2007-04-11 |
| 1932187309 | Charles Gilliland | Hospitalist | 1900 Electric Rd, Salem, VA 24153-7474 | 2006-01-05 |
| Street Address |
613 23RD ST STE G30 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356330732 | Zane A Darnell | Internal Medicine | 613 23rd St, Ste 230, Ashland, KY 41101-2876 | 2005-10-18 |
| 1396189437 | Jeffrey Thomas Jenkins | Internal Medicine | 613 23rd St, Ashland, KY 41101-2878 | 2013-04-19 |
| 1740578301 | Stephanie Hutchison Md Psc | Obstetrics & Gynecology | 613 23rd St, Suite 130, Ashland, KY 41101-2878 | 2011-07-18 |
| 1346539541 | Kentucky Heart Institute | Radiology | 613 23rd St, Suite 140, Ashland, KY 41101-2878 | 2011-03-29 |
| 1104129238 | Diana Sue King | Nurse Practitioner | 613 23rd St, Suite 230, Ashland, KY 41101-2878 | 2010-12-12 |
| 1497083539 | Kings Daughters Medical Specialties Inc | Otolaryngology | 613 23rd St, Ste 420, Ashland, KY 41101-2878 | 2009-12-01 |
| 1235365537 | Kentucky Heart Institute Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 613 23rd St, Suite 210, Ashland, KY 41101-2878 | 2009-06-02 |
| 1053559617 | Kentucky Heart Institute | Surgery | 613 23rd St, Suite G-10, Ashland, KY 41101-2878 | 2009-02-04 |
| 1679710982 | Brittany R Stewart | Physician Assistant | 613 23rd St, Suite 340, Ashland, KY 41101-2878 | 2009-01-09 |
| 1154571172 | Mardini & Associates Md, Psc | Internal Medicine | 613 23rd St, Suite 120, Ashland, KY 41101-2878 | 2008-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255848065 | Orthocincy | Family Medicine | 700 Dolwick Dr, Erlanger, KY 41018 | 2018-01-02 |
| 1790071272 | Kimberly Anne Kaiser | Family Medicine | 740 S Limestone Street K401 Kentucky Clinic, Lexington, KY 40536-0284 | 2011-06-23 |
| 1639304942 | Dwan Rozzel Perry | Family Medicine | 310 S Limestone Street Suite A100a, Lexington, KY 40536-8202 | 2009-05-16 |
| 1174566152 | Christopher V. Pitcock | Family Medicine | 2400 Eastpoint Pkwy Ste 110, Louisville, KY 40223-4154 | 2006-06-14 |
| 1184663015 | Louisville Family & Sports Medicine Psc | Family Medicine | 9420 Brownsboro Rd, Louisville, KY 40241-1118 | 2006-06-06 |
| 1881042505 | Jordan Patrick Hilgefort | Family Medicine | 215 Central Ave Ste 200, Louisville, KY 40208-1451 | 2016-06-03 |
| 1821478769 | Benjamin Bondow | Family Medicine | 2195 Harrodsburg Rd, Lexington, KY 40504 | 2015-06-05 |
| 1457759540 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave, Suite C2, Bowling Green, KY 42101 | 2014-12-05 |
| 1154738987 | Owensboro Health Medical Group, Inc | Family Medicine | 1301 Pleasant Valley Rd, Suite 500b, Owensboro, KY 42303-9774 | 2014-07-14 |
| 1396176541 | University of Louisville Research Foundation | Family Medicine | 215 Central Ave, Suite 200, Louisville, KY 40208-1449 | 2013-12-12 |
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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.