DR. MARJON M GILLBANKS (NPI# 1326096488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326096488 |
| Entity Type | Individual |
| Full Name | DR. MARJON M GILLBANKS |
| Credential | M.D. |
| Practice Address |
19550 E 39th St S Suite 245 Independence MO 64057-2303 |
| Practice Telephone | 8163730655 |
| Practice Fax Number | 8164786374 |
| Mailing Telephone | 8163730655 |
| Mailing Fax Number | 8164786374 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
R4P04 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
19550 E 39TH ST S SUITE 245 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031909 | Nathan T. Wegner | Specialist | 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 | 2005-05-24 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1154878122 | Long and Associates Pain Therapy Inc | General Practice | 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 | 2016-09-07 |
| 1952755340 | Christina Turner | Nurse Practitioner | 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 | 2016-04-21 |
| 1417301615 | Allyson Marie Williams | Nurse Practitioner | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-04-14 |
| 1962860684 | Melody L Alexander | Nurse Practitioner | 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 | 2016-02-09 |
| 1124492608 | Tracy Giese | Nurse Practitioner | 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 | 2015-11-20 |
| 1356733638 | Carma Elizabeth Ball | Nurse Practitioner | 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 | 2015-02-24 |
| 1508257544 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 | 2015-02-12 |
| 1851706022 | Leslie Peirce | Registered Nurse | 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124148846 | Thomas Robert Breen | Internal Medicine | 6801 Brecksville Rd, Suite 10/rk30, Independence, OH 44131-5032 | 2007-03-29 |
| 1962450312 | John J Connolly IIi | Internal Medicine | 19550 E 39th St S, Suite 245, Independence, MO 64057-2303 | 2006-05-05 |
| 1427006543 | Karmel L Carothers | Internal Medicine | 4721 S Cliff Ave, Suite 200, Independence, MO 64055-6969 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037875 | Visiting Physicians LLC | Internal Medicine | 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 | 2020-09-10 |
| 1023572690 | Specialist In Aging Successfully LLC | Internal Medicine | 12255 De Paul Dr Ste 260, Bridgeton, MO 63044-2510 | 2019-01-28 |
| 1023592946 | Institute of Medicine LLC | Internal Medicine | 6824 Balson Ave, Saint Louis, MO 63143-2603 | 2018-09-17 |
| 1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
| 1477967883 | Medical Directors of The Ozarks LLC | Internal Medicine | 302 Veterans Blvd, Branson, MO 65616-2091 | 2014-06-13 |
| 1306133012 | Karen Markeisha Sobers | Internal Medicine | 901 Patients First Dr Ste 3881, Washington, MO 63090-4700 | 2011-07-01 |
| 1285881912 | Gopal K Nair, Md, PC | Internal Medicine | 1023 Arlington Oaks Ter, Chesterfield, MO 63017-5936 | 2008-08-25 |
| 1154577799 | Stanley Sharp Md Lc | Internal Medicine | 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 | 2008-08-14 |
| 1558563890 | Hassan Dawoud Elsiddig | Internal Medicine | 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 | 2007-05-31 |
| 1871795104 | Shehla Sadiq | Internal Medicine | 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 | 2007-05-31 |
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| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.