LARRY AUSTIN GILLIAM (NPI# 1699774216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699774216 |
| Entity Type | Individual |
| Full Name | LARRY AUSTIN GILLIAM |
| Credential | MD |
| Practice Address |
65 Mouse Creek Rd Nw Cleveland TN 37312-4840 |
| Mailing Address |
81 Lakeshore Ln Chattanooga TN 37415-7020 |
| Practice Telephone | 4234729944 |
| Practice Fax Number | 4234729946 |
| Mailing Telephone | 4236675972 |
| Mailing Fax Number | 4238772580 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24516 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346130 | Larry S Gilliam | Anesthesiology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-07-11 |
| Street Address |
65 MOUSE CREEK RD NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737572 | Meghan Shaul Robinson | Occupational Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2020-07-10 |
| 1831738145 | Nicola Ann Johnson | Speech-Language Pathologist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2020-01-03 |
| 1578116414 | Lynnze Taylor Ethridge | Occupational Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2019-07-19 |
| 1982930350 | Center for Pain Management, Pllc | Pain Medicine | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2009-10-20 |
| 1144493925 | Desiree Deeanna Kinard | Physician Assistant | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2008-04-11 |
| 1265601942 | Marsha Cox Brown | Speech-Language Pathologist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2008-02-26 |
| 1750306098 | Rene Nadine Czerkasij | Occupational Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-13 |
| 1134154875 | Blythe Robin Hamilton | Physical Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-11 |
| 1417982125 | Curteis J. Laboy | Physical Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-11 |
| 1831124551 | Dana L. Bryan | Physical Therapist | 65 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| Find all providers in CLEVELAND | ||||
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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.