Individual provider Active NPI

Orin Carleton Gilbert, PA-C

  • Medical Physician Assistant
  • Fort Jackson, SC
National Provider Identifier
1427278928
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
A514 Issued in SC
Practice address
Moncrief Army Community Hospital
Imboden St
Ft Jackson, SC 29207
Phone
(803) 751-6789
NPI assigned
Apr 26, 2007
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X A514 SC Primary

Addresses

Primary practice location

Moncrief Army Community Hospital
Imboden St
Ft Jackson, SC 29207

Mailing address

4500 Stuart Ave.
Moncrief Army Community Hospital
Columbia, SC 29207
Phone (803) 394-0624

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A514SCMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1427278928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 STUART AVE.",
            "address_2": "MONCRIEF ARMY COMMUNITY HOSPITAL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-394-0624",
            "fax_number": "803-299-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONCRIEF ARMY COMMUNITY HOSPITAL",
            "address_2": "IMBODEN ST",
            "city": "FT JACKSON",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "ORIN",
        "middle_name": "CARLETON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "A514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Jackson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.