CHARLES WAYNE GILLELAND (NPI# 1518955988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518955988 |
| Entity Type | Individual |
| Full Name | CHARLES WAYNE GILLELAND |
| Credential | M.D. |
| Practice Address |
100 Country Club Dr Corpus Christi TX 78412-2828 |
| Practice Telephone | 3619923853 |
| Practice Fax Number | 3619940981 |
| Mailing Telephone | 3619923853 |
| Mailing Fax Number | 3619940981 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E4353 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MCARE PROV. NO. | P00192827 | 01 |
| TX | BCBS PROVIDER NUMBER | 8P5503 | 01 |
| Street Address |
100 COUNTRY CLUB DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78412-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
| 1427512995 | Joshni John | Specialist/Technologist | 6500 Ocean Drive, Corpus Christi, TX 78412 | 2019-01-29 |
| 1881193183 | Southside Specialty Surgical Center LLC | Clinic/Center | 6005 Holly Rd, Corpus Christi, TX 78412 | 2018-02-02 |
| 1689181919 | Avacorte Home Health | Home Health | 5206 Mill Wood Dr, Corpus Christi, TX 78412 | 2018-01-09 |
| 1215458245 | Ashley Kerr | Dentist | 6500 S.p.i.d., Ste 12, Corpus Christi, TX 78412 | 2017-06-29 |
| 1285155242 | Adan Lorenzo Narvaez | Physical Therapist | 2033 Airline Rd Ste E7, Corpus Christi, TX 78412 | 2017-06-29 |
| 1467992784 | Harrison Aj Hall | Prevention Professional | 2006 Airline Rd Apt 516, Corpus Christi, TX 78412 | 2017-03-06 |
| 1922468156 | Coastal Er Iv LLC | Clinic/Center | 7750 South Padre Island Drive, Corpus Christi, TX 78412 | 2016-03-01 |
| 1508282823 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7798 S. Padre Island Drive, Corpus Christi, TX 78412 | 2014-03-11 |
| 1215362553 | Michael Anthony Flores | Nurse Practitioner | 7101 S Pade Island, Corpus Christi, TX 78412 | 2013-09-05 |
| Find all providers in zip 78412 | ||||
| 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 |
|---|---|---|---|---|
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1538524723 | Kelly Campbell | Emergency Medicine | 6238 Boca Raton Cir, Corpus Christi, TX 78413-2636 | 2015-12-15 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1174806335 | Marlene Morales | Emergency Medicine | 5750 Curtis Clark Dr Apt 737, Corpus Christi, TX 78412-4581 | 2011-09-23 |
| 1346521853 | Christion Gregory Rice | Emergency Medicine | 6725 Wood Duck Dr, Corpus Christi, TX 78413-2331 | 2011-08-30 |
| 1619256062 | Allan Christopher Simpson | Emergency Medicine | 522 Hancock Ave, #432, Corpus Christi, TX 78404-2342 | 2011-08-16 |
| 1518261445 | Annie Quysner | Emergency Medicine | 2606 Hospital Blvd Fl 3, Corpus Christi, TX 78405-1804 | 2011-01-06 |
| 1508174939 | T L C Medical Centers, LLC | Emergency Medicine | 7326 S Staples St, Corpus Christi, TX 78413-5509 | 2010-09-20 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78412 |
Please comment or provide details below to improve the information on CHARLES WAYNE GILLELAND.
| 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.