MICHAEL GILLMORE (NPI# 1417072422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417072422 |
Entity Type | Individual |
Full Name | MICHAEL GILLMORE |
Credential | RNFA |
Practice Address |
100 Deerpath Charleston IL 61920-9427 |
Mailing Address |
211 E Fayette Ave Effingham IL 62401-3614 |
Practice Telephone | 2173452727 |
Practice Fax Number | 2173452781 |
Mailing Telephone | 2173438721 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
IL | Nursing Service Providers |
Street Address |
100 DEERPATH |
City | CHARLESTON |
State | IL |
Zip Code | 61920-9427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396713780 | Jeffrey K Mckenna | Dermatology | 100 Deerpath, Charleston, IL 61920-9427 | 2006-03-10 |
1558613489 | Bella Family Health and Wellness, LLC | Family Medicine | 100 Deerpath, Charleston, IL 61920-9427 | 2012-10-02 |
1326207184 | James D Pitts | Physician Assistant | 100 Deerpath, Charleston, IL 61920-9427 | 2008-06-06 |
1881872984 | Maria Horvat Md Sc | Obstetrics & Gynecology | 100 Deerpath, Charleston, IL 61920-9427 | 2008-01-31 |
1932386505 | James M Kohlmann Md Sc | Orthopaedic Surgery | 100 Deerpath, Charleston, IL 61920-9427 | 2008-01-26 |
1215948146 | Manoj Kohli | Internal Medicine | 100 Deerpath, Charleston, IL 61920 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
Find all providers in zip 61920 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316172349 | Michelle Denise Underwood | Registered Nurse | Rr 1 Box 339, Charleston, WV 25312-9724 | 2009-05-19 |
1841415791 | Vivian Washington | Registered Nurse | 1414 Burclare Rd, Charleston, SC 29412-8147 | 2007-04-16 |
1174094015 | Stephanie Duehr | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2018-12-17 |
1275054488 | Christopher Brokaw | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2017-06-28 |
1174939219 | Amanda U. Green | Registered Nurse | 1064 Gardner Rd Ste 105-106, Charleston, SC 29407-5768 | 2014-07-09 |
1417109794 | Terry Lynn Young | Registered Nurse | 415 Morris St, Suite 301, Charleston, WV 25301-1842 | 2008-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313249 | Kimberly Reschke | Registered Nurse | 711 N Stratford Rd, Arlington Heights, IL 60004-5835 | 2020-10-10 |
1124632542 | Catherine Katilius | Registered Nurse | 13112 Steeplechase Dr, New Lenox, IL 60451-1313 | 2020-09-02 |
1760090765 | Edwana Denise Fuller | Registered Nurse | 5319 S Indiana Ave Apt 1, Chicago, IL 60615-4712 | 2020-07-16 |
1245858935 | Masum Kidiwala | Registered Nurse | 8841 Major Ave, Morton Grove, IL 60053-2531 | 2020-07-08 |
1881239168 | Amy Bachman | Registered Nurse | 840 S Wood St Ste 435ecsb, Chicago, IL 60612-4325 | 2019-11-11 |
1144871120 | Danielle Schnoeker | Registered Nurse | 500 Murphysboro Rd, Chester, IL 62233-2024 | 2019-09-22 |
1487203659 | Chaula Patel | Registered Nurse | 894 Breeze Dr, Lake Villa, IL 60046-6688 | 2019-09-10 |
1235697491 | Barbara Lynn Dierking | Registered Nurse | 5700 Piasa Trl, Godfrey, IL 62035-1030 | 2019-03-06 |
1669967543 | Shashanna Heard | Registered Nurse | 1301 E 71st Pl Apt 1n, Chicago, IL 60619-1440 | 2018-06-25 |
1871007930 | Chequaleis Sargent | Registered Nurse | 2031 N Harlem Ave, Chicago, IL 60707-3280 | 2017-11-28 |
Find all providers with the same taxonomy |
City | CHARLESTON |
Zip Code | 61920 |
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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.