JOHN ALLEN GILLIS (NPI# 1679646822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679646822 |
Entity Type | Individual |
Full Name | JOHN ALLEN GILLIS |
Credential | DC |
Practice Address |
1905 Latham Ave Lima OH 45805-1637 |
Practice Telephone | 4192280000 |
Mailing Telephone | 4192280000 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2008-05-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1226 | OH | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | PARAMOUNT | 04754 | 01 |
OH | ANTHEM BLUE CROSS / BLUE SHIELD | 00000181391 | 01 |
OH | MEDICAL MUTUAL | 31-1490432-004 | 01 |
OH | AETNA | 4598779 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083970628 | John Francis Gillis II | Ophthalmology | 88 Mdg/sghj 4881 Sugar Maple Dr, Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2012-04-09 |
1154459469 | John P Gillis | Dentist | 5037 Veterans Blvd. Suite 1, Suite 1, Metairie, LA 70006 | 2007-02-28 |
1770623480 | John E. Gillis | Dentist | 15810 S 45th St Ste 120, Phoenix, AZ 85048-7695 | 2007-02-08 |
1710965769 | John Charles Gillis | Dentist | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-01-09 |
1962749143 | John F Gillis | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2013-01-09 |
1538231774 | John Mcnatt Gillis | Family Medicine | 2211 E Northern Lights Blvd, Anchorage, AK 99508-4103 | 2006-11-14 |
1083673610 | John Malcolm Gillis | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2006-03-22 |
1902898513 | John F Gillis | Ophthalmology | 185 Joe Knox Ave, Mooresville, NC 28117-9169 | 2005-08-19 |
1740288935 | John Andrew Gillis | Physical Therapist | 5530 Wisconsin Ave, Suite 604, Chevy Chase, MD 20815-4404 | 2005-07-12 |
Street Address |
1905 LATHAM AVE |
City | LIMA |
State | OH |
Zip Code | 45805-1637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750338463 | Family Chiropractic Care Center, Inc | Chiropractor | 1905 Latham Ave, Lima, OH 45805-1637 | 2006-05-28 |
1114530995 | Chad Gillis | Chiropractor | 1905 Latham Ave, Lima, OH 45805-1637 | 2020-08-31 |
1730372095 | Kris A. Binkley | Massage Therapist | 1905 Latham Ave, Lima, OH 45805-1637 | 2007-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
1942792908 | Misty Sommer Turner | Community/Behavioral Health | 1115 S. Sapakaneta, Lima, OH 45805 | 2018-06-05 |
1427545250 | Blanford Farms | Dentist | 3000 Elida Road Suite 3, Lima, OH 45805 | 2018-04-17 |
1639696776 | Joseph Edward Kraynok | Social Worker | 3103 W. Elm St., Lima, OH 45805 | 2017-08-29 |
1619424793 | Kylie Mcintyre | Speech-Language Pathologist | 1100 Shawnee Road, Lima, OH 45805 | 2016-09-06 |
1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
1932508637 | Olurin Olaleye | Licensed Practical Nurse | 1430 Oakland Pkwy Apt 4, Lima, OH 45805 | 2014-08-19 |
1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
1285979930 | Kelly C Stahr | Registered Nurse | 1955 Hillcrest, Lima, OH 45805 | 2012-12-06 |
1750641148 | Christina Renee Triplett | Marriage & Family Therapist | 1240 W. Market St, Suite 3, Lima, OH 45805 | 2012-05-21 |
Find all providers in zip 45805 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932677853 | Rehabilitation & Physical Medicine Clinic LLC | Chiropractor | 750 W High St Ste 200, Lima, OH 45801-3995 | 2018-11-08 |
1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
1164727624 | Joshua Lee Hayes | Chiropractor | 545 W Market St Ste 306, Lima, OH 45801-4774 | 2011-01-13 |
1881821130 | Linda Kay Heaston | Chiropractor | 1003 W Market St, Lima, OH 45805-2729 | 2009-06-14 |
1396999108 | Redding Chiropractic | Chiropractor | 1879 Rochester St, Lima, NY 14485-0826 | 2008-11-06 |
1316195472 | Tr Spieles Dc Inc | Chiropractor | 3643 Shawnee Rd, Lima, OH 45806-1539 | 2008-09-03 |
1093917288 | Riepenhoff Chiropractic, Inc. | Chiropractor | 2555 W. Breese Rd., Lima, OH 45806-1607 | 2007-06-01 |
1437371804 | Keith Edward Kohlhorst | Chiropractor | 2553 W Breese Rd, Lima, OH 45806-1607 | 2007-05-03 |
1942424098 | Mary Czaplak | Chiropractor | 1260 Rochester St, Lima, NY 14485-9424 | 2007-04-12 |
1558412593 | Jonathan D. Laux | Chiropractor | 4030 Allentown Rd, Lima, OH 45807-2146 | 2007-01-16 |
Find all providers in LIMA |
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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.