MR. DAVID THOMAS GILMORE (NPI# 1265824395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265824395 |
| Entity Type | Individual |
| Full Name | MR. DAVID THOMAS GILMORE |
| Credential | PA-C |
| Practice Address |
3485 Independence Dr Homewood AL 35209-5603 |
| Practice Telephone | 2059300920 |
| Practice Fax Number | 2054450115 |
| Mailing Telephone | 2059300920 |
| Mailing Fax Number | 2054450115 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.1031 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICAL LICENSE | PA.1031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558774042 | David Gilmore | Social Worker | 109 Omega Cir, Wernersville, PA 19565-1644 | 2014-06-03 |
| 1619957172 | David Scott Gilmore | Dentist | 9870 Hibert St, Suite D9, San Diego, CA 92131-1093 | 2006-01-20 |
| 1619452240 | David Anton Gilmore | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2018-09-28 |
| 1265954309 | David Shepard Gilmore | Physician Assistant | 734 N Franklin St, Lancaster, PA 17602-2176 | 2017-07-11 |
| 1588820872 | David Gilmore | Counselor | 4705a Old Post Rd, Charlestown, RI 02813-1819 | 2008-08-06 |
| 1285835199 | David Gilmore | Counselor | 107 Jackson St, Hayward, CA 94544-1948 | 2007-05-29 |
| 1477690022 | David Thomas Gilmore | Optometrist | 6097 Us Highway 6, Portage, IN 46368-5046 | 2007-01-31 |
| 1386705259 | David M Gilmore | Dentist | 3512 Hwy 39n, Meridian, MS 39301 | 2006-12-13 |
| 1912085275 | David A Gilmore Jr. | Emergency Medicine | 1375 E 19th Ave, Denver, CO 80218-1114 | 2006-11-02 |
| 1184701922 | David J Gilmore | Physician Assistant | 333 N Madison St, Joliet, IL 60436 | 2006-11-01 |
| Street Address |
3485 INDEPENDENCE DR |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498370 | Brian J Larson | Radiology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2005-06-21 |
| 1497232458 | Mersadies Berlynn Orr | Nurse Practitioner | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-07-23 |
| 1649775412 | Bellamy Clarissa Davis | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-03-26 |
| 1831633098 | Krystle E Phillips | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2016-12-07 |
| 1275890386 | Tyler Lewis Poston | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2012-04-13 |
| 1831489707 | Laura Ashley Martin | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2011-04-13 |
| 1770710915 | Alison Marie Parden | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2009-06-15 |
| 1073778452 | Michael Eric Brewer Jr. | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-07-24 |
| 1427218460 | Austin T Lutz | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-06-12 |
| 1205026846 | Thomas D Holley | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694542 | Meghan Elizabeth Gallagher | Physician Assistant | 17901 Governors Hwy Ste 207a, Homewood, IL 60430-1146 | 2020-06-17 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1902972524 | Angela Marie Huisman | Physician Assistant | 940 Maple Avenue, Homewood, IL 60430-2061 | 2006-11-27 |
| 1831633098 | Krystle E Phillips | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2016-12-07 |
| 1720454713 | Hilda A Salgado | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-08-13 |
| 1841228574 | Meredith Sharpton | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1235749276 | Danna Self | Physician Assistant | 7848 Shriner Dr, Pinson, AL 35126-2416 | 2020-08-04 |
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1710516208 | Dnika C Joseph | Physician Assistant | 255 Three Sons Dr, Hoover, AL 35226-2952 | 2020-04-06 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| Find all providers with the same taxonomy | ||||
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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.