DR. GEORGE E GILMORE IV (NPI# 1497731756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497731756 |
Entity Type | Individual |
Full Name | DR. GEORGE E GILMORE IV |
Credential | M.D. |
Practice Address |
818 Forest Ln Waterford WI 53185-4585 |
Practice Telephone | 2625148199 |
Mailing Telephone | 2625148199 |
Enumeration Date | 2005-12-19 |
Last Update Date | 2012-11-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 41548-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34098900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306469515 | George David Gilmore | Pharmacist | 2801 W Main St Ste A, Tupelo, MS 38801-3001 | 2020-05-21 |
1609840966 | George E Gilmore | Emergency Medicine | 103 Sandler Dr, Lafayette, CO 80026-2536 | 2006-02-14 |
1205836822 | George Thomas Gilmore | Surgery | 4700 Battlefield Pkwy, Suite 130, Ringgold, GA 30736-5166 | 2005-07-26 |
1396996146 | George Gilmore | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2008-10-09 |
Street Address |
818 FOREST LN |
City | WATERFORD |
State | WI |
Zip Code | 53185-4585 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639693138 | Dawn M Garthee | Nurse Practitioner | 818 Forest Ln, Waterford, WI 53185-4585 | 2017-07-27 |
1922543081 | Brianne T Jacobson | Physical Therapist | 818 Forest Ln, Waterford, WI 53185-4585 | 2016-12-28 |
1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
1700227865 | Ursala B Marinan | Nurse Practitioner | 818 Forest Ln, Waterford, WI 53185-4585 | 2013-07-17 |
1457627754 | Anwar R Isabell | Family Medicine | 818 Forest Ln, Waterford, WI 53185-4585 | 2012-03-30 |
1316228620 | Melissa A Kersten | Nurse Practitioner | 818 Forest Ln, Waterford, WI 53185-4585 | 2011-08-31 |
1316248073 | Beth A Weidman | Nurse Practitioner | 818 Forest Ln, Waterford, WI 53185-4585 | 2010-11-11 |
1023334166 | Naomi Suntal Miller | Pediatrics | 818 Forest Ln, Waterford, WI 53185-4585 | 2010-04-14 |
1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
1356456545 | Christine M Dignan | Pediatrics | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
1346355542 | Kim T Duczak | Nurse Practitioner | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
Find all providers in zip 53185 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639533177 | Rachael Crise | Emergency Medicine | 5826 Dixie Hwy, Waterford, MI 48329-1525 | 2016-04-11 |
1851570857 | Lamberto Y Malinis Jr. | Emergency Medicine | 818 Forest Ln, Waterford, WI 53185-4585 | 2007-10-26 |
1588644603 | Denis J Tonsfeldt | Emergency Medicine | 818 Forest Ln, Waterford, WI 53185-4585 | 2006-01-17 |
1043215338 | Gary G Waters | Emergency Medicine | 151 Anderson Ln, Waterford, OH 45786-5312 | 2005-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
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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.