DR. MICHAEL WILLIAM GILLILAND (NPI# 1063426005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063426005 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM GILLILAND |
| Credential | M.D. |
| Practice Address |
1322 3rd St Se Suite 100 Puyallup WA 98372-3771 |
| Mailing Address |
1498 Se Tech Center Pl Suite 340 Vancouver WA 98683-9591 |
| Practice Telephone | 2536974128 |
| Mailing Telephone | 3602600235 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD00042973 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TRICARE ID | 20202185198372A002 | 01 |
| WA | 1119296 | 05 | |
| WA | RAILROAD MEDICARE ID | P00257376 | 01 |
| WA | REGENCE BLUE SHIELD ID | 1322GI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038825 | Michael P Gilliland | Optometrist | 105 Great Southern Blvd, Columbus, OH 43207-4001 | 2006-01-26 |
| 1093873648 | Michael Gilliland | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2006-12-05 |
| 1376538249 | Michael P Gilliland | Specialist | 215 Oak Dr S, Suite D, Lake Jackson, TX 77566-5629 | 2005-09-15 |
| Street Address |
1322 3RD ST SE SUITE 100 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723973 | Long D Vu | Anesthesiology | 1322 3rd St Se, Puyallup, WA 98372-3771 | 2005-07-14 |
| 1215499058 | Venita Lena Schandorf | Registered Nurse | 1322 3rd St Se, Puyallup, WA 98372-3771 | 2019-04-02 |
| 1548794613 | Aubrey Siegel | Family Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2017-04-16 |
| 1396110185 | Rosemarie Cosgayon Cannell | Pharmacist | 1322 3rd St Se, Suite #020, Puyallup, WA 98372-3771 | 2015-12-06 |
| 1962898775 | James Pense | Family Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2015-04-08 |
| 1083000855 | James Green | Family Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372 | 2015-04-08 |
| 1184062200 | Preethy Pankaj | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372 | 2013-06-11 |
| 1003252966 | Richard Kline | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2013-05-20 |
| 1417216359 | Ryan Patrick Finn | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2012-05-13 |
| 1548526973 | Vivian Susan Lee | Emergency Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
| 1588067896 | Washington Center for Pain Management LLC | Anesthesiology | 1408 3rd St Se, 1st Floor, Puyallup, WA 98372-3702 | 2014-09-30 |
| 1346342706 | David Hou | Anesthesiology | 1450 5th St Se, #3400, Puyallup, WA 98372 | 2006-09-05 |
| 1437102399 | Good Samaritan Community Healthcare | Anesthesiology | 16515 Meridian E, Suite 104a, Puyallup, WA 98375-6251 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
| 1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
| 1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
| 1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL WILLIAM GILLILAND.
| 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.