CHARLES P GILLESPIE (NPI# 1699970830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699970830 |
| Entity Type | Individual |
| Full Name | CHARLES P GILLESPIE |
| Credential | M.D. |
| Practice Address |
2849 Crater Lake Ln Lafayette CO 80026-3488 |
| Practice Telephone | 5202603478 |
| Mailing Telephone | 5202603478 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 042.0012577 | VT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD2015-0100 | NM | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 48971 | CO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 40833 | AZ | Allopathic & Osteopathic Physicians |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
27906 | NE | Allopathic & Osteopathic Physicians |
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
16455 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RESIDENT PG PERMIT | 76686 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447469358 | Charles Braselton Gillespie | Specialist | 2315 Winchester Rd, Albany, GA 31721-9256 | 2007-05-21 |
| 1134150592 | Charles F Gillespie | Psychiatry & Neurology | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2006-07-05 |
| Street Address |
2849 CRATER LAKE LN |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952585879 | Wendy J. Mcbride | Emergency Medicine | 10101 Ridgegate Center, Lone Tree, CO 80124-9810 | 2007-12-27 |
| 1972700193 | Amy Myrl Prince | Emergency Medicine | 1000 Lincoln St Ste 101, Fort Morgan, CO 80701-3290 | 2007-06-29 |
| 1003864893 | James Bradley Ball | Emergency Medicine | 2055 N High St Ste 340, Denver, CO 80205-5545 | 2006-05-04 |
| 1043293350 | Melissa Kay Ewer | Emergency Medicine | 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 | 2005-11-22 |
| 1417390063 | Kathryn Miriam Kothari | Emergency Medicine | 777 Bannock St # Mc0108, Denver, CO 80204-4507 | 2013-04-14 |
| 1003135104 | Timothy Owen Vanderkooy | Emergency Medicine | 13123 E 16th Ave, Aurora, Co 80045-7106, Aurora, CO 80045-7106 | 2010-05-28 |
| 1710203229 | Shanlee Marie Davis | Emergency Medicine | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 | 2010-04-09 |
| 1205151123 | Jordan M Wright | Emergency Medicine | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2010-04-03 |
| 1679809131 | Megan Corina Lucero | Emergency Medicine | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-10-19 |
| 1629211503 | Sarah Anne Mellion | Emergency Medicine | 13123 E 16th Ave, Aurora, CO 80045 | 2009-04-08 |
| Find all providers with the same taxonomy | ||||
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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.