Active NPI
Robert C Gilroy, M.D.
- Pulmonary Disease Physician
- Harrisburg, PA
National Provider Identifier
1063409068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD006907E
- Practice address
- 1631 N Front St
Harrisburg, PA 17102-2435 - Phone
- (717) 234-2561
- Fax
- (717) 236-1121
- NPI assigned
- Oct 4, 2005
- Last updated
- Dec 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD006907E | PA | Primary |
Addresses
Primary practice location
1631 N Front St
Harrisburg, PA 17102-2435
Mailing address
1631 N Front St
Harrisburg, PA 17102-2435
Phone (717) 234-2561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007771760001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1063409068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 N FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171022435",
"telephone_number": "717-234-2561",
"fax_number": "717-236-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 N FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171022435",
"telephone_number": "717-234-2561",
"fax_number": "717-236-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILROY",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD006907E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007771760001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.