Codey D Gillum (NPI# 1023416781, PAC ID# 2466769674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023416781 |
| PAC ID by PECOS | 2466769674 |
| Professional Enrollment ID | I20150921003242 |
| Full Name | Codey D Gillum |
| Organization Legal Name | ERIC J WOODARD MD PC |
| Address |
125 Parker Hill Ave Boston MA 02120-2847 |
| Phone Number | 7817499071 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749253201 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220088 | NEW ENGLAND BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 125 Parker Hill Ave, Boston, MA 02120-2847 | 7817499071 | ERIC J WOODARD MD PC |
| Organization Legal Name | ERIC J WOODARD MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Woodard | Neurosurgery | Eric J Woodard Md PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Street Address |
125 PARKER HILL AVE |
| City | BOSTON |
| State | MA |
| Zip | 02120-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Foss | Physician Assistant | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Richard R Guillaume | Certified Registered Nurse Anesthetist (crna) | Anaesthesia Associates of Massachusetts, PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Charles J Dow | Cardiovascular Disease (cardiology) | 125 Parker Hill Ave, Boston, MA 02120-2847 | |
| Jessica L Heath | Anesthesiology | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Sharon Bassi | Pain Management | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Pablo Josue Diaz-collado | Orthopedic Surgery | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Petya T Papazova | Nurse Practitioner | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Abolhassan M Amouzgar | Anesthesiology | Anaesthesia Associates of Massachusetts, PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Alfred L Daniels | Anesthesiology | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Rachel Weinstein | Nurse Practitioner | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Larsen | Psychologist, Clinical | New England Baptist Hospital, 125 Parker Hill Ave, Boston, MA 02120 | |
| David A Mattingly | Orthopedic Surgery | Longwood Orthopedic Associates, Inc. | 125 Parker Hill Ave Bingham, Boston, MA 02120-2847 |
| Patricia A Petrous | Certified Registered Nurse Anesthetist | Anaesthesia Associates of Massachusetts, PC | 125 Paker Hill Ave, Boston, MA 02120-2847 |
| Susan Judge Burns | Nurse Practitioner | New England Baptist Physician Group, LLC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Mohammed Hassan | Anesthesiology | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Deepak S Tandon | Neurology | 125 Parker Hill Ave, Suite 300, Boston, MA 02120-2847 | |
| Kimberly Tighe | Physician Assistant | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Kristin Ann Ostergaard | Nurse Practitioner | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Daniela Rohne Garlapati | Internal Medicine | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Sarah Philpot | Physician Assistant | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Find all physicians in zip 02120 | |||
| City | BOSTON |
| Zip Code | 02120 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BOSTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Codey D Gillum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.