Active NPI
Dr Greg Gabliani LTD
- Cardiovascular Disease Physician
- Alton, IL
National Provider Identifier
1558402362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- DR GREG GABLIANI LTD
- Practice address
- 2 Memorial Dr
Suite 209
Alton, IL 62002-6723 - Phone
- (618) 462-3893
- Fax
- (618) 462-3894
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory I Gabliani, M.D.
- Title
- Owner
- Phone
- (618) 462-3893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
2 Memorial Dr
Suite 209
Alton, IL 62002-6723
Mailing address
2 Memorial Dr
Suite 209
Alton, IL 62002-6723
Phone (618) 462-3893
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5143436 | Other | IL | AETNA |
| 101150 | Other | IL | GHP ADVANTRA |
| 2272039 | Other | IL | CIGNA |
| 13464 | Other | IL | BLUE CROSS OF MISSOURI |
| A12466 | Other | IL | MERCY |
| 101821 | Other | IL | HEALTHLINK |
| 06032003 | Other | IL | BLUE CROSS OF ILLINOIS |
| 25 01550 | Other | IL | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
2 Memorial Dr
Ste 209
Alton, IL 62002
Phone (618) 462-1166
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Edwardsville, IL
- NPI 1932167616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558402362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEMORIAL DR",
"address_2": "SUITE 209",
"city": "ALTON",
"state": "IL",
"postal_code": "620026723",
"telephone_number": "618-462-3893",
"fax_number": "618-462-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEMORIAL DR",
"address_2": "SUITE 209",
"city": "ALTON",
"state": "IL",
"postal_code": "620026723",
"telephone_number": "618-462-3893",
"fax_number": "618-462-3894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR GREG GABLIANI LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GABLIANI",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-462-3893",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5143436",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP ADVANTRA",
"identifier": "101150",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2272039",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MISSOURI",
"identifier": "13464",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "A12466",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "101821",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ILLINOIS",
"identifier": "06032003",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25 01550",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.