Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35066311 | OH |
N | 2086S0102X | Surgical Critical Care | 35066311 | OH |
N | 2086S0129X | Vascular Surgeon | 35-066311 P | OH |
N | 2086S0129X | Vascular Surgeon | 35066311 | OH |
NPI | 1083625255 |
---|---|
Provider Name | Dr. Gilles Pinault |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 30/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000516073 | ANTHEM (01) | OH |
0583328 | BCMH (01) | OH |
1083625255 | MICHIGAN MEDICAID (01) | MI |
2202793 | AETNA (01) | OH |
2268504 | (05) | OH |
363915 | WELLCARE MEDICAID (01) | OH |
744993 | BUCKEYE MEDICAID (01) | OH |
P00398038 | RAILROAD MEDICARE (01) | OH |