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John S. Gilliam

Family Doctor Emergency Physician

20172 E Stagecoach Trl
Mayer , Arizona 86333-2357

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John S. Gilliam

Family Doctor Emergency Physician

20172 E Stagecoach Trl
Mayer , Arizona 86333-2357

(800) 960-4547

Write a Review Save Call

John S. Gilliam

Family Doctor Emergency Physician

20172 E Stagecoach Trl
Mayer , Arizona 86333-2357

(800) 960-4547 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • Family Doctor

Languages spoken

  • English

Location

20172 E Stagecoach Trl Mayer , Arizona 86333-2357

First Address

  • John S. Gilliam
  • 15029 N Thompson Peak Parkway Ste B-111 Pmb 438
  • Scottsdale, AZ
  • Zip : 85260-2223
  • Fax : (800) 960-4547
  • Phone : (405) 590-8861

Second Address

  • John S. Gilliam
  • 20172 E Stagecoach Trl
  • Mayer, AZ
  • Zip : 86333-2357
  • Fax : (800) 960-4547
  • Phone : (800) 288-6206

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FAQs


Where did John S. Gilliam attend graduate school?

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Where did John S. Gilliam do his residency?

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Where did John S. Gilliam do his fellowship?

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Is John S. Gilliam board certified?

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What type of doctor is John S. Gilliam

Family Doctor

In what state does John S. Gilliam practice in?

Arizona

Where is John S. Gilliam ’s practice located?

20172 E Stagecoach Trl , Mayer, Arizona, 86333-2357

What is John S. Gilliam ’s gender?

Male

Is John S. Gilliam a sole practitioner?

No

Is John S. Gilliam accepting new patients?

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What languages does John S. Gilliam speak?

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Does John S. Gilliam accept insurance?

Yes, John S. Gilliam accepts insurance

Does John S. Gilliam offers telemedicine?

John S. Gilliam has not indicated if he offers telemedicine

What is John S. Gilliam ’s professional license number?

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What is John S. Gilliam ’s NPI number?

1003877085

Does John S. Gilliam have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207P00000X Emergency Physician 16226 OK
Y 207Q00000X Family Doctor 41469 AZ

National Provider Identifier

NPI 1003877085
Provider Name John S. Gilliam
First Address Scottsdale, AZ 85260-2223
Second Address Mayer, AZ 86333-2357
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/03/2006
Last Update Date 01/07/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
100044450A (05) OK
100044450B (05) OK
600874 AHCCCS (ARIZONA MEDICAID) ID (01) AZ
E88061 (02) OK
Z144938 MEDICARE PTAN (01) AZ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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