JONATHAN DAVID GILLIG (NPI# 1912391053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912391053 |
Entity Type | Individual |
Full Name | JONATHAN DAVID GILLIG |
Credential | MD |
Practice Address |
9880 Angies Way Ste 250 Louisville KY 40241-2865 |
Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
Practice Telephone | 5023946341 |
Practice Fax Number | 5023946340 |
Mailing Telephone | 5025889490 |
Mailing Fax Number | 5022725116 |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
53718 | KY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3421 Medical Park Dr # 2, Mobile, AL 366933330 | 2516658200 | 2516658255 |
Street Address |
9880 ANGIES WAY STE 250 |
City | LOUISVILLE |
State | KY |
Zip Code | 40241-2865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467590190 | Ryan Jeffrey Krupp | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2007-02-02 |
1194224048 | Molly Roberson | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2018-02-06 |
1326422171 | Robert Shelley Jr. | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-07-10 |
1316365653 | Kevin Himschoot | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2014-04-03 |
1962768366 | Abigail B. Gardner | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2012-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
Find all providers in zip 40241 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407965015 | Louisville Orthopaedic Clinic & Sports Rehabilitation Center Psc | Orthopaedic Surgery | 4130 Dutchmans Ln Ste 300, Louisville, KY 40207-4710 | 2006-08-29 |
1669738506 | Tyler James Keller | Orthopaedic Surgery | 4331 Churchman Ave Ste 101, Louisville, KY 40215 | 2012-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285705657 | Parr Orthopaedics Psc | Orthopaedic Surgery | 125 E Maxwell Street, Suite 202, Lexington, KY 40508 | 2006-11-10 |
1790915239 | David Michael Waespe | Orthopaedic Surgery | 404 Shoppers Dr, Winchester, KY 40391 | 2009-07-17 |
1770726481 | Jonathon Michael Spanyer | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2009-04-10 |
1578726873 | Stephen Thomas Duncan | Orthopaedic Surgery | 740 S Limestone, Suite K408, Lexington, KY 40536-0001 | 2008-07-07 |
1790974061 | Jeffrey Wright Parr | Orthopaedic Surgery | 125 E Maxwell St, Suite 202, Lexington, KY 40508-2678 | 2007-10-23 |
1669572145 | Scott Beerher Scutchfield | Orthopaedic Surgery | 740 S Limestone, Lexington, KY 40536-0001 | 2006-09-24 |
City | LOUISVILLE |
Zip Code | 40241 |
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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.