JAI H.GILLIAM, M.D. , PLLC (NPI# 1245488964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245488964 |
Entity Type | Organization |
Organization Name | JAI H.GILLIAM, M.D. , PLLC |
Practice Address |
1782 Bryan Station Rd Lexington KY 40505-2133 |
Practice Telephone | 8592940077 |
Practice Fax Number | 8592940078 |
Mailing Telephone | 8592940077 |
Mailing Fax Number | 8592940078 |
Enumeration Date | 2008-09-05 |
Last Update Date | 2008-09-05 |
Authorized Official Name | DR. JAI HERMAN GILLIAM (PHYSICIAN) |
Authorized Official Telephone | 8592940077 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 39604 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64111156 | 05 |
Street Address |
1782 BRYAN STATION RD |
City | LEXINGTON |
State | KY |
Zip Code | 40505-2133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922282383 | Baptist Physicians Lexington, Inc | Family Medicine | 1782 Bryan Station Rd, Lexington, KY 40505-2133 | 2007-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
Find all providers in zip 40505 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861024457 | Treehouse Center for Sensory Integration | Clinic/Center | 19 Muzzey St # L20, Lexington, MA 02421-5256 | 2020-02-11 |
1649747825 | Interventional Diabetes Center, LLC | Clinic/Center | 20735 Highway 12, Lexington, MS 39095-8266 | 2018-10-25 |
1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
1659720316 | Kansas Neurodiagnostics, LLC | Clinic/Center | 2333 Alexandria Dr Ofc 234, Lexington, KY 40504-3215 | 2016-06-03 |
1982032249 | Southside Chiropractic | Clinic/Center | 2134 Nicholasville Rd Ste 3, Lexington, KY 40503-2521 | 2013-10-24 |
1417261280 | Abundant Living Medical Clinic | Clinic/Center | 3100 Old Todds Rd, Suite 150, Lexington, KY 40509-5006 | 2010-08-03 |
1124340617 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 101 Yorkshire Blvd, Lexington, KY 40509-1883 | 2010-02-24 |
1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
1518105196 | Pro Imaging Lexington | Clinic/Center | 523 Wellington Way Ste 180, Lexington, KY 40503-1394 | 2009-02-04 |
1962697771 | Vital Energy | Clinic/Center | 1812 Augusta Hwy Ste L, Lexington, SC 29072-1915 | 2007-09-14 |
Find all providers in LEXINGTON |
Please comment or provide details below to improve the information on JAI H.GILLIAM, M.D. , PLLC.
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.