DR. TIMOTHY L GILLISON


Address: 900 N. 1st Street, Springfield, IL 62702-3749
Phone: 2175287541

DR. TIMOTHY L GILLISON (NPI# 1710905906) 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) 1710905906
Entity Type Individual
Full Name DR. TIMOTHY L GILLISON
Credential MD
Practice Address 900 N. 1st Street
Springfield
IL 62702-3749
Mailing Address 1025 S 6th St
Springfield
IL 62703-2403
Practice Telephone 2175287541
Practice Fax Number 2175272830
Mailing Telephone 2175287541
Enumeration Date 2006-07-17
Last Update Date 2020-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
036125875 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 900 N. 1ST STREET
City SPRINGFIELD
State IL
Zip Code 62702-3749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164410163 David C. Chapman Obstetrics & Gynecology 900 N. 1st Street, Springfield, IL 62702-3749 2005-10-12
1437423613 Brooke Y. Trickey Nurse Practitioner 900 N. 1st Street, Springfield, IL 62702-3749 2012-03-06
1699049874 Ginger P. Boehler Nurse Practitioner 900 N. 1st Street, Springfield, IL 62702-3749 2012-03-06
1316254287 Stacy Ann Roher Registered Nurse 900 N. 1st Street, Springfield, IL 62702-3749 2010-09-13
1821309790 Alison Christine Rinaberger Obstetrics & Gynecology 900 N. 1st Street, Springfield, IL 62702-3749 2010-06-25
1962638130 Amanda L. Shull Physician Assistant 900 N. 1st Street, Springfield, IL 62702-3749 2009-06-02
1639395114 Amit Kumar Gupta Internal Medicine 900 N. 1st Street, Springfield, IL 62702-3749 2007-04-17
1063535029 Lucinda A Hany Obstetrics & Gynecology 900 N. 1st Street, Springfield, IL 62702-3749 2007-04-06
1558458349 John D. Zander Colon & Rectal Surgery 900 N. 1st Street, Springfield, IL 62702-3749 2006-10-05
1366539165 J. Michael Zinzilieta Obstetrics & Gynecology 900 N. 1st Street, Springfield, IL 62702-3749 2006-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700071008 Shravan Kumar Narmala Internal Medicine 2055 S Fremont Ave Ste 1000, Springfield, MO 65804-2206 2007-09-10
1356447288 John Thomas Fitzharris Internal Medicine 3377 Riverbend Dr Ste 500, Springfield, OR 97477-8802 2006-09-16
1881637049 Namita Vinayek Internal Medicine 900 N 1st Street, Springfield, IL 62702 2006-06-14
1285692178 Tennessee Oncology Pllc Internal Medicine 480 Northcrest Dr, Ste 400, Springfield, TN 37172-3972 2006-05-02
1801879762 Timothy A Johnson Internal Medicine 271 Carew Street, Springfield, MA 01104 2005-11-23
1609865294 Meghna Ramesh Desai Internal Medicine 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 2005-10-17
1235128109 Krishna A Rao Internal Medicine 415 N 9th St, Springfield, IL 62702-5317 2005-10-13
1285232140 Daniella Greaves Internal Medicine 385 Morris Ave, Springfield, NJ 07081-1151 2020-10-13
1932645744 Lester E Cox Medical Centers Internal Medicine 3850 S National Ave, Springfield, MO 65807-5287 2017-01-18
1477908788 Effingham Physician Practices, LLC Internal Medicine 459 Hwy 119 S, Ste B, Springfield, GA 31329-3021 2016-04-25
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Competitor

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City SPRINGFIELD
Zip Code 62702

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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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