Gilbert Wilshire, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

2006006896 Issued in MO

Practice address

1506 E Broadway Ste 220
Columbia, MO 65201-8078

Phone

(573) 443-4511

Fax

(573) 443-7860

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Pain Management Physicians, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, MO
  • NPI 1679514087
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1386679298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E BROADWAY STE 220",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018078",
            "telephone_number": "573-443-4511",
            "fax_number": "573-443-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E BROADWAY STE 220",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018078",
            "telephone_number": "573-443-4511",
            "fax_number": "573-443-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSHIRE",
        "first_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MO",
            "license": "2006006896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Willis, PH.D.
• Phyllis Ann Willis, CRNA
• Willowtree Isl (Lorrie R. Ney)
• Theodore E Wills, MD
• Thomas David Willson, MD
• Anna Wilson
• Ava Jayne Wilson
• Christine Leanne Wilson, D.O.
• Elizabeth A Wilson, M.D.
• Eric L Wilson, C.R.N.A.

• Reproductive Endocrinology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Reproductive Endocrinology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.