Barbara E Gilbertson
Individual provider Active NPI General Practice Physician · Alturas, CA
NPI 1225217409 · NPPES record last updated Sep 3, 2015
Key facts
- NPI
- 1225217409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- DO15593 (OR)
- Practice address
- 535 S Main St
Alturas, CA 96101-4114 - Phone
- (530) 233-2288
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130425000062 | OR | Practitioner - Family Practice | 8123012358 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO15593 | OR | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Community Services Northwest | Current |
Accepting new patients | |
| Lutheran Community Services Northwest | Current | Accepting new patients | |
| Klamath Pain Clinic PC | Past |
Accepting new patients | |
| Lake Health District | Past |
Accepting new patients | |
| Lake Health District | Past | Accepting new patients |
Locations
2545 N Eldorado Ave
Klamath Falls, OR 97601
Phone (541) 883-3471
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/91732642-b694-4776-bbd7-c7859cc968c4/
- https://fhir-myrecord.cerner.com/r4/794039a8-89a5-42e7-a8af-b2a702849aea/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DO15593 | OR | Yes |
| Pain Medicine Physician | 208VP0000X | DO15593 | OR |
Addresses
Primary practice location
535 S Main St
Alturas, CA 96101-4114
Mailing address
535 S Main St
Alturas, CA 96101-4114
Phone (530) 233-2288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E38876 | Other | OR | UPIN |
Other providers in Alturas, CA
- Fay, Fay and Stevens Inc.
- Kathryn Marie Floyd
- Tiffany June Ford
- Jack R Futterman
- Melissa Sue Gallardo
- Kali L Gordon
- Ronald Gray
- Julia Greene
- Nathan Michael Gremillion
- Landin Paul Hagge
All providers in Alturas, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.