Active NPI
Olga Gilman, PA-C
- Medical Physician Assistant
- Fort Myers, FL
National Provider Identifier
1457780108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PAT9107444
- Practice address
- 4101 Evans Ave
Fort Myers, FL 33901-9310 - Phone
- (239) 939-3456
- Fax
- (239) 790-2432
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PAT9107444 | FL | Primary |
Addresses
Primary practice location
4101 Evans Ave
Fort Myers, FL 33901-9310
Mailing address
4101 Evans Ave
Fort Myers, FL 33901-9310
Phone (239) 939-3456
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9107444 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1457780108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019310",
"telephone_number": "239-939-3456",
"fax_number": "239-790-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019310",
"telephone_number": "239-939-3456",
"fax_number": "239-790-2432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "OLGA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PAT9107444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.