Marjon M Gillbanks, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

R4P04 Issued in MO

Practice address

19550 E 39TH St S
Suite 245
Independence, MO 64057-2358

Phone

(816) 373-0655

Fax

(816) 478-6374

NPI assigned

May 4, 2006

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: marjon.gillbanks@hca2.eclinicaldirectplus.com

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.

• Independence Medical Group PC

  • Specialist
  • Independence, MO
  • NPI 1255545737
  NPD (past)
• Jackson County Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Independence, MO
  • NPI 1144277880
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1326096488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 245",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-373-0655",
            "fax_number": "816-478-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 245",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-373-0655",
            "fax_number": "816-478-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLBANKS",
        "first_name": "MARJON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R4P04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARJON.GILLBANKS@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "19550 E 39th St S",
            "address_2": "SUITE 245",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela K Gibson, MA CCC SLP
• Taylor Gibson
• Tracy Giese
• Dawna Lynn Gilbert, ATC
• Skyler Gilbert
• Phillip Scott Gilliam, PA
• Amy Leigh Gillihan, DMD
• Daniel Robert Gilstrap, DDS
• Charlotte Ginnings
• Margaret A Giokaris, LPC

• Geriatric Medicine (Internal Medicine) Physician in Independence, MO
• Providers in Independence, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.