JAI H.GILLIAM, M.D. , PLLC


Address: 1782 Bryan Station Rd, Lexington, KY 40505-2133
Phone: 8592940077

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 39604 KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 64111156 05

Office Location

Street Address 1782 BRYAN STATION RD
City LEXINGTON
State KY
Zip Code 40505-2133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922282383 Baptist Physicians Lexington, Inc Family Medicine 1782 Bryan Station Rd, Lexington, KY 40505-2133 2007-12-20

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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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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
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Competitor

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City LEXINGTON
Zip Code 40505

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Dataset Information

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.

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