DIANA L. GILLMORE, M.D.,L.L.C. (NPI# 1851679849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851679849 |
| Entity Type | Organization |
| Organization Name | DIANA L. GILLMORE, M.D.,L.L.C. |
| Practice Address |
985 Robert Blvd Suite 103 Slidell LA 70458-2063 |
| Practice Telephone | 9856461884 |
| Practice Fax Number | 9856461885 |
| Mailing Telephone | 9856461884 |
| Mailing Fax Number | 9856461885 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |
| Authorized Official Name | DR. DIANA LEE GILLMORE (OWNER/SURGEON) |
| Authorized Official Telephone | 9856461884 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 05478R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | 39700 | 01 |
| MS | 0015875 | 05 | |
| LA | 1363367 | 05 |
| Street Address |
985 ROBERT BLVD SUITE 103 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970678 | Adrienne Bernhard | Nurse Anesthetist, Certified Registered | 985 Robert Blvd, Slidell, LA 70458-2063 | 2005-08-25 |
| 1881973956 | Thomas Jerome Myers | Anesthesiology | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-08-08 |
| 1679899777 | Ear, Nose, Throat Clinic of Slidell | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2010-04-14 |
| 1639330368 | Bert R. Bratton Apmc | Neurological Surgery | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-06-25 |
| 1174798698 | Nancy H Villa | Audiologist-Hearing Aid Fitter | 985 Robert Blvd, Ste. 104, Slidell, LA 70458-2063 | 2008-04-25 |
| 1306010566 | Northlake Interventional Pain Management, LLC | Pain Medicine | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-04-18 |
| 1952419830 | Mary Lisa Leonard | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1144338153 | Wade Joseph Estopinal | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1639287659 | Charles Allen Preston | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1669410171 | James Edward Fambro | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518224427 | Jorge Dagoberto Melara | Surgery | 2170 Gause Blvd W, Suite 101, Slidell, LA 70460-4127 | 2012-04-16 |
| 1487744645 | Paul Russell Hastings I | Surgery | 1108 Crystal Ct, Slidell, LA 70461-5092 | 2006-10-16 |
| 1831150432 | Gary Joel Wolf | Surgery | 2750 E. Gause Blvd, Slidell, LA 70461 | 2006-03-31 |
| 1144211632 | Heather Rae Bronaugh | Surgery | 1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 | 2005-11-02 |
| 1952566408 | Cary Franklin Gray, Md, Apmc | Surgery | 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 | 2008-07-24 |
| 1578723599 | Asahel L Gridley | Surgery | 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 | 2008-06-12 |
| 1144404534 | Natalia B Hannan | Surgery | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2007-12-21 |
| 1215127824 | Heather Bronaugh, Md, LLC | Surgery | 1051 Gause Blvd Ste 260, Slidell, LA 70458-2992 | 2007-07-30 |
| 1033320452 | Francis J Petitto IIi | Surgery | 1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 | 2007-05-25 |
| 1093845687 | Robert V Shafor, Md | Surgery | 1051 Gause Blvd, Suite 260, Slidell, LA 70458-2951 | 2007-03-06 |
| Find all providers in SLIDELL | ||||
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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.