Individual provider Active NPI

Paul A Gilbert, P.A.

  • Physician Assistant
  • Terre Haute, IN
National Provider Identifier
1104932557
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000149A Issued in IN
Practice address
1429 N 6TH St
Terre Haute, IN 47807-1037
Phone
(812) 242-3170
Fax
(812) 235-3330
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000149A IN Primary

Addresses

Primary practice location

1429 N 6TH St
Terre Haute, IN 47807-1037

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3170

Other identifiers 3

IdentifierTypeStateIssuer
000000343075OtherINANTHEM
970006101OtherRAILROAD MCARE PALAMETTO
P00844256OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince May 12, 2010 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 12, 2010 Accepting new patients

Locations

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

400 Poplar St
Terre Haute, IN 47807
Phone (812) 234-3788

1530 N 7th St
Ste 200
Terre Haute, IN 47807
Phone (812) 238-7631

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1104932557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3170",
            "fax_number": "812-235-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071037",
            "telephone_number": "812-242-3170",
            "fax_number": "812-235-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000149A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000343075",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "970006101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00844256",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.