DAVID A GILLEY (NPI# 1871750455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871750455 |
| Entity Type | Individual |
| Full Name | DAVID A GILLEY |
| Credential | MD |
| Practice Address |
679 E County Line Rd Greenwood IN 46143-1049 |
| Practice Telephone | 3178902000 |
| Practice Fax Number | 3178597220 |
| Mailing Telephone | 3178902000 |
| Mailing Fax Number | 3178594269 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01069762A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201082900 | 05 | |
| IN | ANTHEM | 000001010668 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Hadley Rd Ste 203, Mooresville, IN 461582905 | 3178902000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003336843 | David Rhea Gilley | Otolaryngology | 1 Hospital Dr # Ma314, Columbia, MO 65212-1000 | 2017-06-22 |
| Street Address |
679 E COUNTY LINE RD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209184 | Kristian Hale Jensen | Physician Assistant | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2005-07-19 |
| 1760021661 | Crystal Hackett | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2019-12-26 |
| 1285184440 | Urology of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-10-11 |
| 1659824175 | Stephanie Lynn Corman | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-08-02 |
| 1548619190 | Alexander John Felt | Physician Assistant | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-06-05 |
| 1225485899 | Urology of Indiana, LLC | Obstetrics & Gynecology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-05-24 |
| 1073969457 | Maria Huynh | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-05-04 |
| 1295145159 | Brian Orr | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2014-04-30 |
| 1376981084 | Teresa A Lain | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2013-06-05 |
| 1659613818 | Christine Pan | Obstetrics & Gynecology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| 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 |
|---|---|---|---|---|
| 1407848690 | James S Robbins IIi | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2005-08-16 |
| 1649273749 | Greenwood Urological P.a. | Urology | 109 Liner Dr, Greenwood, SC 29646-2311 | 2005-05-23 |
| 1104228972 | Greenwood Leflore Hospital | Urology | 205 8th St, Greenwood, MS 38930 | 2014-09-23 |
| 1295145159 | Brian Orr | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2014-04-30 |
| 1033462239 | Jason Ronald Kovac | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2012-10-25 |
| 1861763260 | Greenwood Leflore Hosptial | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2012-01-18 |
| 1871809855 | Self Medical Group | Urology | 109 Liner Dr, Greenwood, SC 29646-2311 | 2010-08-27 |
| 1003121989 | Arnold P Mulkey | Urology | 109 Liner Dr, Greenwood, SC 29646-2311 | 2010-08-16 |
| 1871736595 | James Harrison Raybourn IIi | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2009-04-10 |
| 1124033550 | Samuel T Thompson | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2006-07-31 |
| Find all providers in GREENWOOD | ||||
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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.