DR. JOHN SCHILLER GILLICK (NPI# 1609845700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609845700 |
Entity Type | Individual |
Full Name | DR. JOHN SCHILLER GILLICK |
Credential | MD, MPH |
Practice Address |
1947 Cable St San Diego CA 92107-2807 |
Mailing Address |
4069 Alameda Dr San Diego CA 92103-1607 |
Practice Telephone | 6192231652 |
Practice Fax Number | 6192235443 |
Mailing Telephone | 6106923609 |
Mailing Fax Number | 6196922032 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
C31808 | CA | Allopathic & Osteopathic Physicians |
X | 207R00000X | Internal Medicine | C31808 | CA | Allopathic & Osteopathic Physicians |
X | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
C31808 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033137401 | John Joseph Gillick | Psychologist | 375 Linwood Ave, Buffalo, NY 14209-1607 | 2006-07-17 |
1821499344 | John Gillick | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2014-09-16 |
Street Address |
1947 CABLE ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92107-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649263682 | Jeoffry Bruce Gordon | Family Medicine | 1947 Cable St, San Diego, CA 92107-2807 | 2005-08-24 |
1699032938 | Ocean Beach Medical Group | Non-Pharmacy Dispensing Site | 1947 Cable St, San Diego, CA 92107-2807 | 2012-04-11 |
1992710826 | Ocean Beach Medical Group | Family Medicine | 1947 Cable St, San Diego, CA 92107-2807 | 2006-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497111322 | Amanda Malicki | Occupational Therapist | 1567 Ocean Front St, San Diego, CA 92107 | 2016-01-07 |
1841689031 | Shari Houser | Marriage & Family Therapist | 1969 Sunset Cliffs Blvd, San Diego, CA 92107 | 2015-01-12 |
1740627868 | Marie Catherine Dumas | Psychologist | 3863 Coronado Ave, San Diego, CA 92107 | 2013-05-30 |
1386914422 | South Bay Internal Medicine and Family Practice | Non-Pharmacy Dispensing Site | 374 H Street, 202, San Diego, CA 92107 | 2012-01-06 |
1396023982 | Brooke Michelle Nielsen | Marriage & Family Therapist | 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 | 2011-07-29 |
1871890889 | Elizabeth Cantori | Occupational Therapist | 1865 1/2 Ebers St, San Diego, CA 92107 | 2011-02-28 |
1861716482 | Dina Chalom | Physical Therapist | 4833 Pescadero Ave Apt 3, San Diego, CA 92107 | 2010-03-25 |
1265762983 | David A. Schein | Psychiatry & Neurology | 4517 Newport Avenue, San Diego, CA 92107 | 2009-12-31 |
1184836215 | County of San Diego, Aging & Independance Services | Community/Behavioral Health | 4858 Del Mar Ave, San Diego, CA 92107 | 2007-05-03 |
1063535813 | James Wilson Jones | Dentist | 1499 Sunset Cliffs Blvd, San Diego, CA 92107 | 2007-04-09 |
Find all providers in zip 92107 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154717015 | Stewart Alan Lewis | Anesthesiology | 1281 9th Ave Unit 3009, San Diego, CA 92101-4676 | 2015-04-07 |
1093819419 | Alicja Steiner Md A Professional Medical Corporation | Anesthesiology | 2100 5th Ave # 200, San Diego, CA 92101-2102 | 2006-09-08 |
1871517110 | Paul Euin Kim | Anesthesiology | 3549 Camino Del Rio South, Ste A, San Diego, CA 92108-3549 | 2006-07-27 |
1457388225 | Kevin S Smith | Anesthesiology | 7525 Linda Vista Rd Ste C, San Diego, CA 92111-5344 | 2006-06-27 |
1093281438 | Relieve Pain Center, Inc. | Anesthesiology | 3969 4th Ave Ste 208, San Diego, CA 92103-3165 | 2018-10-23 |
1538641857 | Relive You Center for Advanced Pain Management | Anesthesiology | 8901 Activity Rd Ste 104, San Diego, CA 92126 | 2018-09-04 |
1033614706 | Ellison Medical Group Vein Treatment Center | Anesthesiology | 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 | 2018-03-26 |
1013422633 | Stewart A Lewis Do Rph Inc | Anesthesiology | 1281 9th Ave Unit 3009, San Diego, CA 92101-4676 | 2017-12-05 |
1811313067 | Pain Solutions Inc | Anesthesiology | 6719 Alvarado Rd, San Diego, CA 92120-5270 | 2014-03-12 |
1861832735 | Douglas Dobecki, Medical Doctor, Incorporated | Anesthesiology | 7625 Mesa College Dr, Suite 315a, San Diego, CA 92111-5343 | 2013-06-25 |
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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.