Active NPI
Christine L. Gilliam, MD PA
- Otolaryngology Physician
- San Antonio, TX
National Provider Identifier
1023266574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- M3234
- Legal business name
- CHRISTINE L. GILLIAM, MD PA
- Doing business as
- Everyone's ENT and Sinus Center
- Practice address
- 502 Madison Oak Dr
Suite 140
San Antonio, TX 78258-4084 - Phone
- (210) 647-3838
- Fax
- (210) 403-3166
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine L. Gilliam, MD
- Title
- Owner
- Phone
- (210) 647-3838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M3234 | TX | Primary |
Addresses
Primary practice location
502 Madison Oak Dr
Suite 140
San Antonio, TX 78258-4084
Mailing address
502 Madison Oak Dr
Suite 140
San Antonio, TX 78258-4084
Phone (210) 647-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048RR | Other | TX | BLUE CROSS |
Other names 1
- Everyone's ENT and Sinus Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21738 Hardy Oak Blvd
San Antonio, TX 78258
502 Madison Oak Dr
Ste 140
San Antonio, TX 78258
Phone (210) 647-3838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- San Antonio, TX
- NPI 1134161094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345420800000",
"number": "1023266574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MADISON OAK DR",
"address_2": "SUITE 140",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584084",
"telephone_number": "210-647-3838",
"fax_number": "210-403-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MADISON OAK DR",
"address_2": "SUITE 140",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584084",
"telephone_number": "210-647-3838",
"fax_number": "210-403-3166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTINE L. GILLIAM, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2012-08-20",
"status": "A",
"authorized_official_last_name": "GILLIAM",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-647-3838",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "TX",
"license": "M3234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0048RR",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Everyone's ENT and Sinus Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.