Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-028446 | OH |
NPI | 1730105578 |
---|---|
Provider Name | Robert C. Gilkeson |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 27/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000204736 | UNISON (01) | OH |
000000503577 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
1730105578 | MI MEDICAID (01) | MI |
2272642 | (05) | OH |
363556 | WELLCARE (01) | OH |
5206208 | AETNA (01) | OH |
731902 | BUCKEYE (01) | OH |
G09132 | (02) | |
P00358788 | RAILROAD MEDICARE (01) | OH |