Individual provider Active NPI

James Louis Gillilland, DO

  • Allergy Physician
  • Mesa, AZ
National Provider Identifier
1326008707
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
005365 Issued in AZ
Practice address
1131 N York Cir
Mesa, AZ 85213-5328
Phone
(480) 964-4190
NPI assigned
Mar 28, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 01610 IA
Allergy Physician 207KA0200X 005365 AZ Primary

Addresses

Primary practice location

1131 N York Cir
Mesa, AZ 85213-5328

Mailing address

1131 N York Cir
Mesa, AZ 85213-5328
Phone (480) 964-4190

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
005365AZMDAllergy Physician
3765IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Associates of the Mississippi Valley, PLLC Allergy & Immunology PastSince Jan 1, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1326008707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N YORK CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135328",
            "telephone_number": "480-964-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N YORK CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135328",
            "telephone_number": "480-964-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILLAND",
        "first_name": "JAMES",
        "middle_name": "LOUIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "01610",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AZ",
            "license": "005365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.