DR. STEPHEN CRAIG GILLARD (NPI# 1437166881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437166881 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN CRAIG GILLARD |
| Credential | MD |
| Practice Address |
51 Obery St Plymouth MA 02360-2129 |
| Mailing Address |
910 Washington St Ste 200 Dedham MA 02026-6022 |
| Practice Telephone | 5087326770 |
| Practice Fax Number | 5087322129 |
| Mailing Telephone | 7817620471 |
| Mailing Fax Number | 7817628072 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 80236 | MA | Other Service Providers |
| Y | 208800000X | Urology | 80236 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM | 28167 | 01 |
| MA | BCBS | J19168 | 01 |
| MA | TUFTS | 080236 | 01 |
| MA | 3184340 | 05 |
| Street Address |
51 OBERY ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583902 | Michael A Geffin | Urology | 51 Obery St, Plymouth, MA 02360-2129 | 2006-07-20 |
| 1992045165 | Kristina E Leedham | Physician Assistant | 51 Obery St, Plymouth, MA 02360-2129 | 2013-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583902 | Michael A Geffin | Urology | 51 Obery St, Plymouth, MA 02360-2129 | 2006-07-20 |
| 1144494394 | Urology Associates, Ltd. | Urology | 2855 Campus Dr, Suite 345, Plymouth, MN 55441-2649 | 2008-04-18 |
| 1033388558 | Edison Lakes Urology Plymouth Office | Urology | 1919 Lake Ave, Suite 109, Plymouth, IN 46563-7830 | 2008-02-28 |
| 1053591297 | Plymouth Bay Urology Specialists, P.C. | Urology | 135 Sandwich St, Suite B, Plymouth, MA 02360-2400 | 2007-11-05 |
| 1710933486 | Female Pelvic Medicine and Reconstructive Surgery | Urology | 2805 Campus Dr, Suite 405, Plymouth, MN 55441-2676 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099737 | Kelly Lindert | Urology | 68 Chester St, Arlington, MA 02476-7607 | 2020-03-26 |
| 1619464781 | Osama Alalao | Urology | 655 Concord Ave Apt 702, Cambridge, MA 02138-1086 | 2018-04-15 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1447707450 | Yonah Krakowsky | Urology | 200 Boylston St # A309, Chestnut Hill, MA 02467-2012 | 2016-09-07 |
| 1952796518 | Filipe La Fuente De Carvalho | Urology | 55 Fruit St Dept of Urology, Boston, MA 02114-2621 | 2015-03-31 |
| 1487087375 | Abdulsalam Ahmed Albalawi | Urology | 88 Thornton Rd, 88, Chestnut Hill, MA 02467-3611 | 2013-08-14 |
| 1083955538 | Eugene Blanchard Cone | Urology | 55 Fruit St - Grb 1100, Massachusetts General Hospital - Department of Urology, Boston, MA 02114 | 2013-03-08 |
| 1881946929 | David T Mahony | Urology | 223 Fairview Ave, Brockton, MA 02301-2907 | 2012-10-14 |
| 1710240395 | Chintan Patel | Urology | 85 Prescott St Ste 403, Worcester, MA 01605-2671 | 2012-06-19 |
| Find all providers with the same taxonomy | ||||
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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.