Active NPI
Peter C Gilmore, MD
- Neurology Physician
- Yakima, WA
National Provider Identifier
1376551796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00018225
- Practice address
- 1110 N. 35TH Ave
Yakima, WA 98902 - Phone
- (509) 834-7050
- Fax
- (509) 834-7051
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD00018225 | WA | Primary |
Addresses
Primary practice location
1110 N. 35TH Ave
Yakima, WA 98902
Mailing address
1110 N. 35TH Ave
Yakima, WA 98902
Phone (509) 834-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1713304 | Medicaid | WA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00018225 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Hma Physician Management LLC | Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9185/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1376551796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N. 35TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-834-7050",
"fax_number": "509-834-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N. 35TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-834-7050",
"fax_number": "509-834-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "PETER",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00018225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1713304",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.