Brian Gillis, DO

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

1513 Issued in ME

Practice address

8 Water St
Oakland, ME 04963-4956

Phone

(207) 465-3003

Fax

(207) 465-7352

NPI assigned

Nov 29, 2006

Last updated

May 26, 2008By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ME, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Colorectal Surgery (Proctology)

Education

University of New England, College of Osteo Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newman Memorial Hospital, IncGroup PAC ID 2567482367, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Regional Medical Center Hospital, Lewiston, ME, CCN 200034
• Newman Memorial Hospital Hospital, Shattuck, OK, CCN 371336

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Newman Memorial Hospital, Inc

  • Critical Access Hospital
  • Shattuck, OK
  • NPI 1083617807
  Medicare reassignment Care Compare group
• Brian J Gillis DO PA

  • Colon & Rectal Surgery Physician
  • Oakland, ME
  • NPI 1790180933
  NPD (past) Authorized official
• Brian J Gillis Dopa

  • Colon & Rectal Surgery Physician
  • Oakland, ME
  • NPI 1871526376
  NPD (past) Authorized official
• Dr Brian J Gillis and Associates

  • Colon & Rectal Surgery Physician
  • Oakland, ME
  • NPI 1821302480
  NPD (past) Authorized official
• Healthy Healing Counseling Inc.

  • Case Management Agency
  • Oakland, ME
  • NPI 1851709000
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Care Compare affiliation
• Newman Memorial Hospital, Inc

  • Critical Access Hospital
  • Shattuck, OK
  • NPI 1083617807
  Care Compare affiliation

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211760000000",
    "number": "1386711877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WATER ST",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634956",
            "telephone_number": "207-465-3003",
            "fax_number": "207-465-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WATER ST",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634956",
            "telephone_number": "207-465-3003",
            "fax_number": "207-465-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ME",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "038507",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "H00479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2274735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M177120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154490099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Cann Filliter, MD
• Kayla Marie Flaherty, NP-BC
• Norleen Fleming
• Melissa Frechette
• Diane M Gable, M.D.
• Lauren Glueck, CCC-SLP
• Marc S Golden, DO
• Claire M Guy, LMT
• Heather Hall, OTRL
• Angela L Hastings, DC

• Colon & Rectal Surgery Physician in Oakland, ME
• Providers in Oakland, ME by specialty
• Colon & Rectal Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.