John Bernard Gillen Iii (NPI# 1356312755, PAC ID# 7214960905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1356312755 |
| PAC ID by PECOS | 7214960905 |
| Professional Enrollment ID | I20101202000549 |
| Full Name | John Bernard Gillen Iii |
| Organization Legal Name | EAR NOSE AND THROAT OF SPRINGFIELD INC |
| Address |
435 S Burnett Rd Springfield OH 45505-2717 |
| Phone Number | 9373258796 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5496788184 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360355 | OHIO VALLEY MEDICAL CENTER, LLC |
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 435 S Burnett Rd, Springfield, OH 45505-2717 | 9373258796 | EAR NOSE AND THROAT OF SPRINGFIELD INC |
| Organization Legal Name | EAR NOSE AND THROAT OF SPRINGFIELD INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Morton Smith Jr. | Otolaryngology | Ear Nose and Throat of Springfield Inc | 435 S Burnett Rd, Springfield, OH 45505-2717 |
| Sara Ann Rodgers | Nurse Practitioner | Ear Nose and Throat of Springfield Inc | 435 S Burnett Rd, Springfield, OH 45505-2717 |
| Michael Brent Duvall | Otolaryngology | Ear Nose and Throat of Springfield Inc | 435 S Burnett Rd, Springfield, OH 45505-2717 |
| Street Address |
435 S BURNETT RD |
| City | SPRINGFIELD |
| State | OH |
| Zip | 45505-2717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Morton Smith Jr. | Otolaryngology | Ear Nose and Throat of Springfield Inc | 435 S Burnett Rd, Springfield, OH 45505-2717 |
| Sara Ann Rodgers | Nurse Practitioner | Ear Nose and Throat of Springfield Inc | 435 S Burnett Rd, Springfield, OH 45505-2717 |
| Michael Brent Duvall | Otolaryngology | Ear Nose and Throat of Springfield Inc | 435 S Burnett Rd, Springfield, OH 45505-2717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas L Shrewsbury | Nurse Practitioner | Springfield Primary Healthcare Services, LLC | 448 E High St, Springfiled, OH 45505-1008 |
| Mark A Smith | Psychiatry | Mental Health Services for Clark Co Inc | 1086 Mound St, Springfield, OH 45505-1191 |
| Jyothi Puram | Internal Medicine | 1730 E High St, Springfield, OH 45505-1208 | |
| Coral Spicer | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Lisa M Delong | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Angela Ruth Jackson | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Daniel W Nesselroade | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| David R Billing | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Jerald S Dudney | Internal Medicine | 220 S Arlington Ave, Springfield, OH 45505-1302 | |
| Rebecca Chait | Ophthalmology | Goes Physicians Inc | 2330 E High St, Springfield, OH 45505-1322 |
| Find all physicians in zip 45505 | |||
| City | SPRINGFIELD |
| Zip Code | 45505 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SPRINGFIELD + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on John Bernard Gillen Iii.
| 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.