James R Gilsdorf MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301045438 Issued in MI

Legal business name

JAMES R GILSDORF MD PC

Practice address

200 Arnet St
Suite 110
Ypsilanti, MI 48198-5753

Phone

(734) 483-0404

Fax

(734) 481-0844

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Teresa Hacala

Title

Credentialing

Phone

(248) 457-9210

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James R Gilsdorf, M.D.

  • Surgery Physician
  • Ypsilanti, MI
  • NPI 1295794683
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1508048018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARNET ST",
            "address_2": "SUITE 110",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985753",
            "telephone_number": "734-483-0404",
            "fax_number": "734-481-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARNET ST",
            "address_2": "SUITE 110",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985753",
            "telephone_number": "734-483-0404",
            "fax_number": "734-481-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R GILSDORF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HACALA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "248-457-9210"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301045438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B48642",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6914",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11276974",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004109376",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "P101875",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1970536",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Jager
• Kim Marie Jaggers, M.D.
• Swathi B Jallipalli, MD
• Suhur Jama
• James E Berg DDS Ms
• Anne James, M.D.
• Kelsey James
• Mia James
• Stephanie Marlene-Estes James, MA, LPC, NCC
• Jamokay Taylor PC

• Surgery Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.