Individual provider Active NPI

Christina Gillmor, M.D.

  • Cornea and External Diseases Specialist Physician
  • West Des Moines, IA
National Provider Identifier
1093160491
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
MD-48712 Issued in IA
Practice address
6200 Westown Pkwy
West Des Moines, IA 50266-7755
Phone
(515) 223-8685
NPI assigned
May 4, 2016
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 66949 MN
Cornea and External Diseases Specialist Physician 207WX0120X MD-48712 IA Primary

Addresses

Primary practice location

6200 Westown Pkwy
West Des Moines, IA 50266-7755

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other practice location 1

1195 Boyson Rd Ste 200
Hiawatha, IA 52233-2218
Phone (319) 362-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20210831001583 IA Practitioner - Ophthalmology 4880989748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians

Practice addresses (Care Compare)

1195 Boyson Rd
Suite 200
Hiawatha, IA 52233-2218
Phone (319) 362-8032

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6493WIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Wolfe Clinic Inc Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients

Locations

804 Kenyon Rd
Ste 100
Fort Dodge, IA 50501
Phone (515) 576-7777

1195 Boyson Rd
Ste 200
Hiawatha, IA 52233
Phone (319) 362-8032

2225 Mormon Trek Blvd
Ste 100
Iowa City, IA 52246
Phone (319) 337-5770

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

Interoperability endpoints

  • Direct secure messaging: cgillmor@wolfe.intellechartdirect.net
  • Direct secure messaging: cgillmor847007@direct.unitypoint.org

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1093160491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667755",
            "telephone_number": "515-223-8685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Boyson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "IA",
            "postal_code": "522332218",
            "country_code": "US",
            "telephone_number": "319-362-8032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLMOR",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "66949",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "IA",
            "license": "MD-48712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.