MICHAEL GILLIAM (NPI# 1598923658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598923658 |
| Entity Type | Individual |
| Full Name | MICHAEL GILLIAM |
| Practice Address |
1315 Walnut St Texarkana TX 75501-4446 |
| Mailing Address |
400 S Henderson St Fort Worth TX 76104-1017 |
| Practice Telephone | 9037943767 |
| Practice Fax Number | 9037943493 |
| Mailing Telephone | 8173352583 |
| Mailing Fax Number | 8173352597 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 50382 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265716831 | Michael S Gilliam | Pharmacist | 1 Olde Village Dr, Nicholasville, KY 40356-8714 | 2011-09-30 |
| 1760550602 | Michael Gilliam | Hospitalist | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2006-11-30 |
| Street Address |
1315 WALNUT ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932676178 | Katrina Brown | Behavior Technician | 1315 Walnut St, Texarkana, TX 75501-4446 | 2018-10-25 |
| 1780102228 | Dana Nicole Hutson | Physical Therapy Assistant | 1315 Walnut St, Texarkana, TX 75501-4446 | 2017-09-05 |
| 1659894640 | Jennifer Adams | Physical Therapy Assistant | 1315 Walnut St, Texarkana, TX 75501-4446 | 2017-07-20 |
| 1285180794 | Lauren Long | Occupational Therapy Assistant | 1315 Walnut St, Texarkana, TX 75501-4446 | 2016-08-25 |
| 1043673676 | Leticia Amber Hall | Occupational Therapy Assistant | 1315 Walnut St, Texarkana, TX 75501-4446 | 2016-03-31 |
| 1033589528 | Louisa Mchenry | Specialist/Technologist | 1315 Walnut St, Texarkana, TX 75501-4446 | 2015-09-28 |
| 1487043105 | Jennifer Anne Gentry | Occupational Therapy Assistant | 1315 Walnut St, Texarkana, TX 75501-4446 | 2015-01-19 |
| 1932508504 | Susan Morgan Nash | Specialist/Technologist | 1315 Walnut St, Texarkana, TX 75501-4446 | 2014-08-19 |
| 1215354915 | Kristy Sharp | Occupational Therapy Assistant | 1315 Walnut St, Texarkana, TX 75501-4446 | 2014-03-20 |
| 1659713980 | Jordan Elizabeth Nutt | Specialist/Technologist | 1315 Walnut St, Texarkana, TX 75501-4446 | 2013-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083931174 | Jill N Daniel | Hearing Instrument Specialist | 1 Central Mall, Texarkana, TX 75503-2420 | 2010-04-28 |
| 1154508182 | Monica P Davis | Hearing Instrument Specialist | 4214 Texas Blvd., Texarkana, TX 75503 | 2008-01-22 |
| 1699952622 | Sonya Champion | Hearing Instrument Specialist | 5124 Summerhill Rd, Texarkana, TX 75503-1824 | 2008-01-22 |
| 1609371657 | Andrew S. Gilliam | Hearing Instrument Specialist | 3101 Kennedy Ln, Suite 300, Texarkana, TX 75503 | 2018-03-29 |
| 1962907915 | Justin P. Snow | Hearing Instrument Specialist | 3101 Kennedy Lane, Suite 300, Texarkana, TX 75503 | 2018-03-29 |
| 1992233241 | Ashli Kristine Mashburn | Hearing Instrument Specialist | 4522 Summerhill Rd, Texarkana, TX 75503-2740 | 2017-05-31 |
| 1124436845 | Timothy Martinez | Hearing Instrument Specialist | 4211 Texas Blvd, Texarkana, TX 75503-3012 | 2014-07-25 |
| 1063752327 | Harvie 'james' Kocher | Hearing Instrument Specialist | 4211 Texas Blvd, Texarkana, TX 75503-3012 | 2013-02-25 |
| 1851670517 | Ashley Brooke Dunlap | Hearing Instrument Specialist | 4211 Texas Blvd, Texarkana, TX 75503-3012 | 2011-08-12 |
| 1386958981 | Lacey Jackson Teer | Hearing Instrument Specialist | 4214 Texas Blvd, Texarkana, TX 75503-3013 | 2010-08-06 |
| Find all providers in TEXARKANA | ||||
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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.