DR. TOM M GILLIS (NPI# 1588965693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588965693 |
| Entity Type | Individual |
| Full Name | DR. TOM M GILLIS |
| Credential | M.D. |
| Practice Address |
20701 N Scottsdale Rd Unit 107 Suite 196 Scottsdale AZ 85255-6413 |
| Practice Telephone | 4802476301 |
| Practice Fax Number | 4802476301 |
| Mailing Telephone | 4802476301 |
| Mailing Fax Number | 4802476301 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35983 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA MEDICAL BOARD | 35983 | 01 |
| Street Address |
20701 N SCOTTSDALE RD UNIT 107 SUITE 196 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992769954 | Lance Adam Cohen | Radiology | 20701 N Scottsdale Rd, #107-499, Scottsdale, AZ 85255-6413 | 2006-04-14 |
| 1679012348 | Binu Thomas | Nurse Practitioner | 20701 N Scottsdale Rd, Ste 107-601, Scottsdale, AZ 85255-6413 | 2017-02-14 |
| 1124474846 | Kelly Nalder | Nurse Practitioner | 20701 N Scottsdale Rd, Scottsdale, AZ 85255-6413 | 2016-05-12 |
| 1932449238 | Black Mesa Medical LLC | Radiology | 20701 N Scottsdale Rd, #107240, Scottsdale, AZ 85255-6413 | 2013-02-22 |
| 1861739856 | Jaime Frances Williams | Nurse Practitioner | 20701 N Scottsdale Rd, Ste 107-601, Scottsdale, AZ 85255-6413 | 2013-01-10 |
| 1144516444 | Dorsee International | Home Health | 20701 N Scottsdale Rd, Ste107-287, Scottsdale, AZ 85255-6413 | 2011-06-24 |
| 1407814825 | Martin B Ainbinder | Radiology | 20701 N Scottsdale Rd, #107-240, Scottsdale, AZ 85255-6413 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576123 | Multi Specialty Physicians Group Inc | Specialist | 8428 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6663 | 2020-07-29 |
| 1447814751 | Carmen Tasse | Specialist | 3260 N Hayden Rd Ste 110, Scottsdale, AZ 85251-6650 | 2019-04-23 |
| 1730688078 | Constance Victoria Bolton | Specialist | 2940 N 67th Pl, Scottsdale, AZ 85251-6009 | 2018-02-01 |
| 1760924187 | Center for Endocrine and Pancreas Surgery | Specialist | 4830 N 65th St, Scottsdale, AZ 85251-1044 | 2016-11-16 |
| 1306298955 | Smart Brain Aging Inc | Specialist | 8130 E Cactus Rd Ste 250, Scottsdale, AZ 85260-5263 | 2016-07-07 |
| 1073986386 | Ong Plastic Surgery | Specialist | 8555 E San Felipe Dr, Scottsdale, AZ 85258-2511 | 2015-11-09 |
| 1417335159 | Polished Holdings Inc | Specialist | 7135 E Camelback Rd, Suite 173, Scottsdale, AZ 85251-1262 | 2015-05-14 |
| 1346632064 | Traci Gregory | Specialist | 9301 E Shea Blvd Ste 113, Scottsdale, AZ 85260-6735 | 2015-03-04 |
| 1174808307 | Frederick James Grant | Specialist | 10797 E Quartz Rock Rd, Scottsdale, AZ 85255-8134 | 2011-10-19 |
| 1881973782 | Ashley Kay Williams | Specialist | 7659 E Pinnacle Peak Rd Ste 115, Scottsdale, AZ 85255-6298 | 2011-08-09 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on DR. TOM M GILLIS.
| 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.