Timothy G Gillum (NPI# 1316994791, PAC ID# 4385618552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1316994791 |
| PAC ID by PECOS | 4385618552 |
| Professional Enrollment ID | I20040824000006 |
| Full Name | Timothy G Gillum |
| Organization Legal Name | GILLUM FACIAL PLASTIC SURGERY PC |
| Address |
801 W Gardner Dr Gillum Sinus and Allergy Institute Marion IN 46952-1819 |
| Phone Number | 7656514278 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1997 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 3476527649 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150011 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 W Gardner Dr, Gillum Sinus and Allergy Institute, Marion, IN 46952-1819 | 7656514278 | GILLUM FACIAL PLASTIC SURGERY PC |
| Organization Legal Name | GILLUM FACIAL PLASTIC SURGERY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua R Holley | Nurse Practitioner | Gillum Facial Plastic Surgery PC | 801 W Gardner Dr, Gillum Sinus and Allergy Institute, Marion, IN 46952-1819 |
| Street Address |
801 W GARDNER DR GILLUM SINUS AND ALLERGY INSTITUTE |
| City | MARION |
| State | IN |
| Zip | 46952-1819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua R Holley | Nurse Practitioner | Gillum Facial Plastic Surgery PC | 801 W Gardner Dr, Gillum Sinus and Allergy Institute, Marion, IN 46952-1819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia Gail Bogue | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Sara J Nevil | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| John W Kennedy | Family Medicine | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Virginia K Delon | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Maria Ipo-miller | Physical Therapy | Apex Physical Therapy Center Inc | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Carlo C Lo | Maxillofacial Surgery | 1612 N Baldwin Ave A, Marion, IN 46952-1457 | |
| Bernard Brent Dreiman | Oral Surgery | Oral and Maxillofacial Surgery, P.C. | 1612 N Baldwin Ave A, Marion, IN 46952-1457 |
| Gary Lynn Adsit I | Podiatry | 1900 W Kem Rd, Marion, IN 46952-1548 | |
| Paul E Gandy | Diagnostic Radiology | Marion General Radiology Inc | 830 N Theatre Rd, Marion, IN 46952-1700 |
| Lisa M Wallace | Nurse Practitioner | Marion General Hospital | 831 N Theatre Dr, Phys Billing of Mgh, Marion, IN 46952-1701 |
| Find all physicians in zip 46952 | |||
| City | MARION |
| Zip Code | 46952 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MARION + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Timothy G Gillum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.