KENNETH GORDON GILBERT JR. (NPI# 1225190242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225190242 |
| Entity Type | Individual |
| Full Name | KENNETH GORDON GILBERT JR. |
| Credential | MD |
| Practice Address |
3202 B Lakeshore Dr Champaign IL 61822-5208 |
| Practice Telephone | 2173564191 |
| Practice Fax Number | 8773505447 |
| Mailing Telephone | 2173564191 |
| Mailing Fax Number | 8773505447 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036050367 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036050367 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1510 W Ottawa Rd, Paxton, IL 609574090 | 2173794302 | 2178170379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488810 | Kenneth Gilbert | Home Health | 2322 Traymore Pl, Columbus, OH 43211-1854 | 2017-03-16 |
| 1801867189 | Kenneth Paul Gilbert | Plastic Surgery | 1266 Furnace Brook Parkway, Suite 403, Quincy, MA 02169 | 2006-01-27 |
| 1235623091 | Kenneth A Gilbert | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2018-06-15 |
| 1619410727 | Kenneth Gilbert | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2016-11-21 |
| 1063586808 | Kenneth Andrew Gilbert | Dentist | 1275 Mcconnell Dr, Suite G, Decatur, GA 30033-3505 | 2006-11-20 |
| Street Address |
3202 B LAKESHORE DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033266044 | Archana Chopra | Psychiatry & Neurology | 1210 Lancaster Dr, # C, Champaign, IL 61821-7028 | 2007-01-04 |
| 1003983057 | Lawrence L Jeckel Md PC | Psychiatry & Neurology | 2500 Galen Drive, Champaign, IL 61821-7038 | 2006-11-28 |
| 1760551865 | Linda A Derum | Psychiatry & Neurology | 467 Devonshire Dr, Champaign, IL 61820 | 2006-11-06 |
| 1720095300 | Charles K Hawley | Psychiatry & Neurology | 1813 W. Kirby Avenue, Ste 120, Champaign, IL 61821-5410 | 2006-08-03 |
| 1528013539 | David Raymond Kopacz | Psychiatry & Neurology | 302 W Hill St, Suite 203, Champaign, IL 61820-3562 | 2006-05-24 |
| 1790211589 | Jennifer Laprise | Psychiatry & Neurology | 1813 W Kirby Ave, Carle Champaign On Kirby - Psychiatry, Champaign, IL 61821-5410 | 2017-05-11 |
| 1215463971 | Mercy E Eigbike | Psychiatry & Neurology | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2017-05-02 |
| 1003076399 | Katherine A Kwiatkowski | Psychiatry & Neurology | 1813 W. Kirby Ave, Ste. 120, Champaign, IL 61821-5410 | 2008-06-11 |
| 1831362409 | Lawrence Lee Jeckel | Psychiatry & Neurology | 2500 Galen Dr, Champaign, IL 61821-7038 | 2008-04-03 |
| 1275733719 | Suzanna Frances Kitten | Psychiatry & Neurology | 1813 W. Kirby Ave., Champaign, IL 61821-5410 | 2007-07-23 |
| Find all providers in CHAMPAIGN | ||||
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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.