Active NPI
Paul Barth Gilman, MD
- Hematology & Oncology Physician
- Wynnewood, PA
National Provider Identifier
1215943634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD024195E
- Practice address
- 100 Lancaster Ave
Main Line Oncology Hematology Associates
Wynnewood, PA 19096 - Phone
- (610) 645-2494
- Fax
- (610) 645-4456
- NPI assigned
- Jul 31, 2006
- Last updated
- Sep 19, 2013
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD024195E | PA | Primary |
Addresses
Primary practice location
100 Lancaster Ave
Main Line Oncology Hematology Associates
Wynnewood, PA 19096
Mailing address
100 Lancaster Ave
Main Line Oncology Hematology Associates
Wynnewood, PA 19096
Phone (610) 645-2494
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128658 | Other | AETNA | |
| 23000687001 | Other | PRUDENTIAL | |
| 000038595 | Other | PA | BLUE CROS PPO |
| 1748215 | Other | CIGNA | |
| 900002735 | Other | UNITED | |
| 0008109220001 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024195E | PA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1215943634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LANCASTER AVE",
"address_2": "MAIN LINE ONCOLOGY HEMATOLOGY ASSOCIATES",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "19096",
"telephone_number": "610-645-2494",
"fax_number": "610-645-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LANCASTER AVE",
"address_2": "MAIN LINE ONCOLOGY HEMATOLOGY ASSOCIATES",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "19096",
"telephone_number": "610-645-2494",
"fax_number": "610-645-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "PAUL",
"middle_name": "BARTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD024195E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2128658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "23000687001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROS PPO",
"identifier": "000038595",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1748215",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "900002735",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008109220001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.