MR. GREGORY I GABLIANI


Address: 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132
Phone: 3148395522

MR. GREGORY I GABLIANI (NPI# 1629007331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629007331
Entity Type Individual
Full Name MR. GREGORY I GABLIANI
Credential M.D.
Practice Address 11125 Dunn Rd
Suite 204
Saint Louis
MO 63136-6132
Practice Telephone 3148395522
Practice Fax Number 3148395351
Mailing Telephone 3148395522
Mailing Fax Number 3148395351
Enumeration Date 2006-07-03
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
R7F54 MO Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036-104678 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL INDIVIDUAL PIN NUMBER K24013 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 Medical Plz Ste 150, Lake St Louis, MO 633671483 6366252662

Office Location

Street Address 11125 DUNN RD
SUITE 204
City SAINT LOUIS
State MO
Zip Code 63136-6132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083617294 Morin Michael Hanson Surgery 11125 Dunn Rd, Ste 402, Saint Louis, MO 63136-6132 2005-05-23
1033612502 Casey Wikiera Counselor 11125 Dunn Rd, Saint Louis, MO 63136-6132 2018-03-12
1457707705 Renee Mcdonald Nurse Practitioner 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 2016-05-05
1518320001 Emily Rutledge Case Manager/Care Coordinator 11125 Dunn Rd, Suite 201, Saint Louis, MO 63136-6132 2016-04-01
1881060812 Victoria Fisher Counselor 11125 Dunn Rd, Saint Louis, MO 63136-6132 2015-08-13
1942676101 Nicole Willmering Community Health Worker 11125 Dunn Rd, Saint Louis, MO 63136-6132 2015-08-11
1457746125 Claudia Bledsoe Case Manager/Care Coordinator 11125 Dunn Rd, Professional Bulding #2 Suite 201, Saint Louis, MO 63136-6132 2015-03-31
1295146744 Carnecia Cole Pharmacist 11125 Dunn Rd, Saint Louis, MO 63136-6132 2014-05-17
1073923413 Veronica Smotherson Case Manager/Care Coordinator 11125 Dunn Rd, Professional Office Building #2, Saint Louis, MO 63136-6132 2014-05-07
1366862781 Yi Jiang Social Worker 11125 Dunn Rd, Saint Louis, MO 63136-6132 2014-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427315423 Paul Larsen Internal Medicine 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 2012-04-13
1275899718 Bradley Carl Witbrodt Internal Medicine 3023 N Ballas Rd Ste 200, Saint Louis, MO 63131-2330 2012-04-10
1194004952 Jad Raffoul Internal Medicine 1402 S Grand Blvd Fl 14, Saint Louis, MO 63104-1004 2011-08-11
1982999462 Philip L Mar Internal Medicine 3635 Vista Ave Fl 15, Saint Louis, MO 63110-2539 2011-06-13
1255644191 Rugheed Ghadban Internal Medicine 1402 S Grand Blvd Ste 260, Saint Louis, MO 63104-1004 2010-07-20
1962727404 Tyson E Turner Internal Medicine 625 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 2010-03-27
1649468786 Midwest Cardiovascular, Inc. Internal Medicine 1031 Bellevue Ave Ste 200, Saint Louis, MO 63117-1856 2007-10-12
1124225347 Pradeep Aaron Chandra Internal Medicine 11155 Dunn Rd Ste 304e, Saint Louis, MO 63136-6111 2007-06-29
1699856443 Miguel Angel Paniagua Internal Medicine 12414 Lusher Rd, Saint Louis, MO 63138-1456 2006-10-18
1235147109 Jerome D Cohen Internal Medicine 8138 Westmoreland Ave, Provider Enrollment, Saint Louis, MO 63105-3731 2006-08-04
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Competitor

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City SAINT LOUIS
Zip Code 63136

Improve Information

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Dataset Information

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.

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