WILLIAM SPENCER GILLEN (NPI# 1932460441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932460441 |
| Entity Type | Individual |
| Full Name | WILLIAM SPENCER GILLEN |
| Credential | M.D. |
| Practice Address |
5207 Hickory Park Dr Ste A Glen Allen VA 23059-2624 |
| Practice Telephone | 8043264448 |
| Practice Fax Number | 3093264947 |
| Mailing Telephone | 8043264448 |
| Mailing Fax Number | 3093264947 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2020-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 128667 | OH | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0101261999 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 N Glenn Ave, Washington Court House, OH 431602711 | 7403359290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235294802 | William Garver Gillen | Counselor | 1770 East Lakeshore Drive, Suite 209, Decatur, IL 62521 | 2006-12-26 |
| 1508389263 | William J Gillen IIi | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-07-24 |
| 1467882282 | William Lee Gillen Jr. | Occupational Therapy Assistant | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2013-11-14 |
| 1386630093 | William Stanley Gillen | Internal Medicine | 11803 Jefferson Ave, Suite 110, Newport News, VA 23606-2565 | 2005-09-27 |
| Street Address |
5207 HICKORY PARK DR STE A |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440355 | Absolute Dermatology P.C. | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440355 | Absolute Dermatology P.C. | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129599 | Metro Mohs Surgery Center, LLC | Dermatology | 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 | 2019-05-15 |
| 1699927129 | Harry Leslie Parlette IIi | Dermatology | 125 Terrell Rd E, Charlottesville, VA 22901-2166 | 2008-10-15 |
| 1578722260 | Soonyou Kwon | Dermatology | 8100 Boone Blvd Ste 300, Vienna, VA 22182-2642 | 2008-06-06 |
| 1457483869 | Martha L Wilson Md Pa | Dermatology | 104 E Stuart Dr, Galax, VA 24333-2119 | 2007-03-12 |
| 1669561791 | Advanced Dermatology of Charlottesville, Plc | Dermatology | 600 Peter Jefferson Parkway Suite 350, Charlottesville, VA 22911 | 2006-10-12 |
| 1063524593 | Oyster Point Dermatology Inc | Dermatology | 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4202 | 2006-08-31 |
| 1275586190 | Amir Bajoghli | Dermatology | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 | 2006-05-19 |
| 1568441897 | Dermatologic Surgery of Central Virginia Plc | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-13 |
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
| 1891169975 | Forefront Dermatology, S.c. | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182 | 2015-11-30 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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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.