DR. KYLE CORNELIUS GILLESPIE (NPI# 1487093746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487093746 |
| Entity Type | Individual |
| Full Name | DR. KYLE CORNELIUS GILLESPIE |
| Credential | D.P.M. |
| Practice Address |
18301 N 79th Ave Bldg F #168 Glendale AZ 85308-8463 |
| Practice Telephone | 6235449090 |
| Practice Fax Number | 6026035666 |
| Mailing Telephone | 6235449090 |
| Mailing Fax Number | 6026035666 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
9065045-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD-000927 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
9065045-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649433459 | Kyle Morgan Gillespie | Optometrist | 701 2nd Ave Se, Quincy, WA 98848-1531 | 2008-07-02 |
| Street Address |
18301 N 79TH AVE BLDG F #168 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676165 | Gerald Barnes Harris II | Internal Medicine | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2005-08-15 |
| 1689199671 | Austin Blalock | Physical Therapist | 18301 N 79th Ave, Glendale, AZ 85308-8463 | 2017-08-10 |
| 1275074700 | Passport Health Holdings, LLC | Preventive Medicine | 18301 N 79th Ave, Ste D148, Glendale, AZ 85308-8479 | 2017-03-16 |
| 1720469182 | Preferred Physical Therapy, LLC | Physical Therapist | 18301 N 79th Ave, Ste B122, Glendale, AZ 85308-8463 | 2015-06-11 |
| 1639560816 | Rose Marie Mintz | Physician Assistant | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2015-02-10 |
| 1932535952 | Lee Ann Brady, LLC | Health Educator | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2013-09-23 |
| 1417223611 | Desert Sun Smiles, LLC | Dentist | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2012-04-02 |
| 1518242254 | Cheryl Dewood | Dentist | 18301 N 79th Ave, Suite F 164, Glendale, AZ 85308-8463 | 2011-10-13 |
| 1538454970 | Northwest Counseling and Associates LLC | Specialist | 18301 N 79th Ave, Ste. F170, Glendale, AZ 85308-8463 | 2011-06-14 |
| 1114228160 | Northwest Counseling & Associates | Specialist | 18301 N 79th Ave, Ste F170, Glendale, AZ 85308-8463 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
| 1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
| 1790218550 | Noubar Varderessian | Podiatrist | 1122 N Columbus Ave, Apt. 2, Glendale, CA 91202-3241 | 2017-04-09 |
| 1659721850 | Samvel Keshishyan | Podiatrist | 1339 N Columbus Ave Unit 311, Glendale, CA 91202-3875 | 2016-06-17 |
| 1639583388 | Jamila Butcher | Podiatrist | 5605 W Eugie Ave Ste 102, Glendale, AZ 85304-1273 | 2014-06-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1710173489 | Glendale Foot & Ankle Podiatry Center, Inc. | Podiatrist | 1030 S Glendale Ave Ste 403, Glendale, CA 91205-2866 | 2007-09-17 |
| 1760564272 | Hermoz B Ayvazian | Podiatrist | 110 S Adams St, Glendale, CA 91205-1312 | 2006-10-20 |
| 1467567883 | Rajesh Praful Daulat | Podiatrist | 6677 W Thunderbird Rd Ste J171-172, Glendale, AZ 85306-3732 | 2006-08-19 |
| 1780606764 | Allen Massihi | Podiatrist | 311 N Verdugo Rd, Glendale, CA 91206-3944 | 2006-07-25 |
| Find all providers in GLENDALE | ||||
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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.