Haywood S Gilliam, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

30734 Issued in WI

Practice address

202 So Park St
Meriter Hospital
Madison, WI 53715

Phone

(608) 417-6387

Fax

(608) 417-6198

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1316902091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SO PARK ST",
            "address_2": "MERITER HOSPITAL - 10 TOWER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-417-6387",
            "fax_number": "608-417-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SO PARK ST",
            "address_2": "MERITER HOSPITAL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-417-6387",
            "fax_number": "608-417-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "HAYWOOD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "30734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31533000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Gilles, CAPSW
• Jessica Gillespie
• Robert Joseph Gillespie, PH.D., LMFT, LPC
• James Gillette, PT
• Patricia Anne Gillette, LPC AND LMFT
• Nora Gilman, LAT
• Kaitlin A Gilmore, NP
• Aaron Gilmour, OTR/L
• Lynn Gilpin-Parks, LPC, CRC
• Brock Gilsdorf, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Madison, WI
• Providers in Madison, WI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.