MR. CRAIG K GILCREASE (NPI# 1265581185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265581185 |
Entity Type | Individual |
Full Name | MR. CRAIG K GILCREASE |
Credential | PA-C |
Practice Address |
502 Elm St Ne Albuquerque NM 87102-2512 |
Practice Telephone | 5058411000 |
Practice Fax Number | 5058432592 |
Mailing Telephone | 5058411000 |
Mailing Fax Number | 5058432956 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2014-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2003-0047 | NM | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 223634 | 05 | |
AZ | RAILROAD MEDICARE | P00428450 | 01 |
Street Address |
502 ELM ST NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87102-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568464600 | William M. Deane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-01 |
1568019404 | Lily A Jackman | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2019-08-26 |
1326539420 | Sandeep Nair | Internal Medicine | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2018-05-24 |
1710403589 | Catherine Elizabeth Mahoney | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-14 |
1336664820 | Arun L Malikayil | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-07 |
1033642921 | Crystal Lewis-hicks | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102 | 2017-04-06 |
1275073009 | Rachel Deaton | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-02-27 |
1609318500 | Judith Everett | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2016-11-08 |
1972050383 | David Wayne Young | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102 | 2016-09-01 |
1134520232 | Erin Miller Schultz | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2014-09-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
Find all providers in zip 87102 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
1982818860 | Kristen Marron Bushnell | Physician Assistant | Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2007-05-09 |
1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
1861444143 | Beverly Heck Bierbach | Physician Assistant | Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 | 2006-05-16 |
1881654218 | Paul Lee Armstrong | Physician Assistant | 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 | 2006-03-28 |
1477535698 | Daryl Edson Smith | Physician Assistant | 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 | 2005-11-15 |
1366431355 | Michelle M Ruthmann | Physician Assistant | 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 | 2005-10-21 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87102 |
Please comment or provide details below to improve the information on MR. CRAIG K GILCREASE.
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.