DR. CAMERON ALEXANDER GILLESPIE (NPI# 1790747889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790747889 |
| Entity Type | Individual |
| Full Name | DR. CAMERON ALEXANDER GILLESPIE |
| Credential | MD |
| Practice Address |
104 Doctors Park Galax VA 24333-2276 |
| Mailing Address |
Po Box 1337 Galax VA 24333-1337 |
| Practice Telephone | 2762365161 |
| Mailing Telephone | 2762363210 |
| Mailing Fax Number | 2762368780 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
010-1026376 | VA | Allopathic & Osteopathic Physicians |
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
010-1026376 | VA | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
010-1026376 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6501133 | 05 |
| Street Address |
104 DOCTORS PARK |
| City | GALAX |
| State | VA |
| Zip Code | 24333-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194091090 | Dlp Twin County Physician Practices LLC | Otolaryngology | 104 Doctors Park, Galax, VA 24333-2276 | 2012-03-26 |
| 1679504021 | Russell Alan Davis | Otolaryngology | 104 Doctors Park, Galax, VA 24333-2276 | 2006-07-05 |
| 1780679944 | James P King Jr. | Otolaryngology | 104 Doctors Park, Galax, VA 24333-2276 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508872 | Family Preservation Services Inc. | Community/Behavioral Health | 140 D Larkspur Lane, Galax, VA 24333 | 2018-11-27 |
| 1215464292 | Emil William Sandstrom | Social Worker | 6999 Carrrolton Pike, Galax, VA 24333 | 2017-05-22 |
| 1548676505 | Ashley Allen Houk | Nurse Practitioner | 199 Hospital Dr Ste 7, Galax, VA 24333 | 2014-07-10 |
| 1043558745 | Oldtown Medical Care, LLC | Family Medicine | 306 Meadow St, Galax, VA 24333 | 2013-01-30 |
| 1447524152 | Karli Cathleen Meagher | Social Worker | 210 Calhoun Street, Galax, VA 24333 | 2012-02-27 |
| 1609003615 | Family Preservation Services, Inc | Community/Behavioral Health | 105 Rosenwald Felts Drive, Galax, VA 24333 | 2009-06-17 |
| 1730399452 | Stephen Earl Gause | Counselor | 6999 Carrollton Pike, Galax, VA 24333 | 2007-05-23 |
| 1326269903 | Rebecca L. Stanley | Counselor | 112 Painter Street, Galax, VA 24333 | 2007-05-01 |
| 1811075187 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1047 East Stuart Dr, Unit 18, Galax, VA 24333 | 2006-11-02 |
| 1497858872 | Ethan Young Jones | Dentist | 1001 E Stuart Drive, Galax, VA 24333 | 2006-09-07 |
| Find all providers in zip 24333 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194091090 | Dlp Twin County Physician Practices LLC | Otolaryngology | 104 Doctors Park, Galax, VA 24333-2276 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215943493 | Mary Elizabeth Curtiss | Otolaryngology | 1583 N Main St, Suite B, Marion, VA 24354-4317 | 2006-07-31 |
| 1346248101 | Edward Thomas Newbill | Otolaryngology | 6900 Forest Ave Ste 115, Suite 303, Richmond, VA 23230-1701 | 2005-07-14 |
| 1568465912 | Michael R Abidin | Otolaryngology | 6355 Walker Ln, Ste 308, Alexandria, VA 22310-3247 | 2005-05-31 |
| 1225389893 | E. Thomas Newbill, Md, LLC | Otolaryngology | 6900 Forest Ave Ste 115, Richmond, VA 23230-1701 | 2012-09-24 |
| 1609953421 | Mary E. Curtiss, Md, PC | Otolaryngology | 1583 N Main St, Suite B, Marion, VA 24354-4317 | 2006-11-01 |
| 1841209772 | Harrisonburg Ent Associates Inc | Otolaryngology | 333 Lucy Dr, Harrisonburg, VA 22801-8050 | 2006-08-07 |
| 1326052184 | James J Lee | Otolaryngology | 44320 Premier Plaza, Suite 110, Ashburn, VA 20147-5076 | 2006-07-28 |
| 1477582559 | Bjh Md Pllc | Otolaryngology | 400 Sentara Cir, Suite 300, Williamsburg, VA 23188-5716 | 2006-07-01 |
| 1851365126 | William Lee Wilkes | Otolaryngology | 1800 Glenside Dr, Richmond, VA 23226-3769 | 2006-02-14 |
| 1164425500 | Iyad S Saidi | Otolaryngology | 6355 Walker Ln, Ste 308, Alexandria, VA 22310-3247 | 2005-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CAMERON ALEXANDER GILLESPIE.
| 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.