Thomas E Gilham II, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

License

1710I1002X

Practice address

5503 Marvin Shields Blvd
Gulfport, MS 39501-9007

Phone

(228) 871-2810

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1508828161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 MARVIN SHIELDS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395019007",
            "telephone_number": "228-871-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 MARVIN SHIELDS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395019007",
            "telephone_number": "228-871-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILHAM",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": "1710I1002X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT DUTY CORPSMAN",
            "identifier": "1710I1002X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa D Gieseler, B.S.
• Diana D Gilbert, M.D.
• Logan Gilbert
• Michael Joseph Gilbert, MD
• Melanie Dawn Gilgan, NBC-HIS
• Erwin Gilliam, LPC
• Elizabeth Anne Gilliand, LPC
• Rebecca Jayne Gilliland, LCSW
• Laura Leigh Gillissie, LCSW
• Christopher M Gilmore, FNP-BC

• Independent Duty Corpsman in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Independent Duty Corpsman in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.