JOHN B GILL (NPI# 1487737177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487737177 |
| Entity Type | Individual |
| Full Name | JOHN B GILL |
| Credential | M.D. |
| Practice Address |
619 E Mason St Suite 4p57 Springfield IL 62701-1034 |
| Practice Telephone | 2177880706 |
| Practice Fax Number | 2175252535 |
| Mailing Telephone | 2177880706 |
| Mailing Fax Number | 2175252535 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036-094556 | IL | Other Service Providers |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036094556 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036-094556 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036094556 | 05 | |
| IL | RAILROAD | 060041621 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366720443 | John Gill | Internal Medicine | 2750 Haymaker Rd, Monroeville, PA 15146 | 2011-07-24 |
| 1073608352 | John P Gill | Dentist | 25 Baywood Drive, Queensbury, NY 12804 | 2006-10-04 |
| 1831294099 | John A Gill | Family Medicine | 2115 14th St Ste 100, Auburn, NE 68305-1760 | 2006-09-13 |
| 1922097625 | John Brent Gill | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2005-10-17 |
| 1902809908 | John Craig Gill | Nurse Anesthetist, Certified Registered | 51 High Country Rd, Box 115, Plains, MT 59859-9540 | 2005-05-23 |
| 1770908782 | John Gill | Physical Therapist | 1901 Frank Scott Pkwy E, O Fallon, IL 62269-7342 | 2014-02-27 |
| 1356694566 | John Mark Gill | Physician Assistant | 555 N Duke St, Lancaster, PA 17602-2250 | 2012-10-25 |
| 1073842795 | John Stephen Gill | Social Worker | 2513 24th St, San Francisco, CA 94110-3556 | 2009-12-08 |
| 1700965928 | John Torbet Gill | Orthopaedic Surgery | 8230 Walnut Hill Ln, Suite 708, Dallas, TX 75231-4431 | 2006-11-06 |
| 1275610461 | John Gill | Dentist | 363 W Main St, Tilton, NH 03276-5010 | 2006-11-01 |
| Street Address |
619 E MASON ST SUITE 4P57 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033190814 | Carl E Arentzen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 | 2005-11-09 |
| 1669913349 | Laura Grubb | Internal Medicine | 619 E Mason St, Ste. 4p57, Springfield, IL 62701-1034 | 2017-03-15 |
| 1265974604 | Julie Borjon | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-11-16 |
| 1912358565 | Meleah Vaughan | Nurse Practitioner | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-06-24 |
| 1508225616 | Margaret Jordan | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-02-17 |
| 1487011144 | Shauna Vogler | Internal Medicine | 619 E Mason St, Springfield, IL 62701-1034 | 2016-01-25 |
| 1871987750 | Amy Durako | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2015-03-27 |
| 1215333604 | Meredith Fleming | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2014-11-12 |
| 1154623585 | Margie Douglas | Nurse Practitioner | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2010-11-17 |
| 1326378175 | Angela K. Lafrenz | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2009-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1023520475 | Michael Robert West | Internal Medicine | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2017-10-25 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| 1508225616 | Margaret Jordan | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-02-17 |
| 1215333604 | Meredith Fleming | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2014-11-12 |
| 1326486515 | Maryna J Popp | Internal Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2013-06-10 |
| 1730425893 | Nileshkumar J Patel | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2012-12-18 |
| 1760770101 | Bhuvnesh Aggarwal | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2011-07-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.