Robert L Gilliland, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35029131 Issued in OH

Practice address

4247 Stratford Rd
Youngstown, OH 44512-1422

Phone

(330) 519-5192

Fax

(330) 782-6652

NPI assigned

Jun 18, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Habiba Health Services PC

  • Internal Medicine Physician
  • Mt Pleasant, PA
  • NPI 1043237944
  Medicare reassignment NPD
• Med Health Services Management, LP

  • Clinical Medical Laboratory
  • Monroeville, PA
  • NPI 1760521611
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1043659535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 STRATFORD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121422",
            "telephone_number": "330-519-5192",
            "fax_number": "330-782-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 STRATFORD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121422",
            "telephone_number": "330-519-5192",
            "fax_number": "330-782-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35029131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonii Gillam
• Patrice J Gillems
• Dolores Mary Gillespie, RN
• Mitchell Thomas Gillespie, BA
• Breanne Gillie, MD
• Jionna Nicole Gillins, MSW, LSW
• Tracie A Gilmore
• Tyler Gilmore, M.D.
• Danielle Gilpin
• Nunzio John Gimmelli

• Neurology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.