Active NPI
Jean M. Gilomen, PA-C
- Physician Assistant
- Milwaukee, WI
National Provider Identifier
1285656173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 340
- Practice address
- 8700 W Watertown Plank Rd
Department of Plastic Surgery
Milwaukee, WI 53226-3595 - Phone
- (414) 805-5440
- Fax
- (414) 259-0901
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 340 | WI | Primary |
Addresses
Primary practice location
8700 W Watertown Plank Rd
Department of Plastic Surgery
Milwaukee, WI 53226-3595
Mailing address
8700 W Watertown Plank Rd
Department of Plastic Surgery
Milwaukee, WI 53226-3595
Phone (414) 805-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285656173 | Medicaid | WI |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1285656173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 W WATERTOWN PLANK RD",
"address_2": "DEPARTMENT OF PLASTIC SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263595",
"telephone_number": "414-805-5440",
"fax_number": "414-259-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 W WATERTOWN PLANK RD",
"address_2": "DEPARTMENT OF PLASTIC SURGERY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263595",
"telephone_number": "414-805-5440",
"fax_number": "414-259-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILOMEN",
"first_name": "JEAN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285656173",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.