Active NPI
George Gilson, MD
- Obstetrics & Gynecology Physician
- Las Cruces, NM
National Provider Identifier
1588677751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 75-153
- Practice address
- 385 Calle de Alegra Ste B
Las Cruces, NM 88005-3423 - Phone
- (575) 532-2044
- Fax
- (575) 532-0807
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4703 | AK | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 88159 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 75-153 | NM | Primary |
Addresses
Primary practice location
385 Calle de Alegra Ste B
Las Cruces, NM 88005-3423
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other practice location 1
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (760) 736-6767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018450 | Medicaid | AK |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ggilson9914@ak.providencedirect.org | ||
| Direct Messaging Address | ggilson9914@ak.providencedirect.org |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75-153 | NM | MD | Obstetrics & Gynecology Physician |
| 4703 | AK | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Surgical Family Planning Clinic/Center
- Seattle, WA
- NPI 1083700686
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1588677751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-532-2044",
"fax_number": "575-532-0807"
}
],
"practiceLocations": [
{
"address_1": "150 Valpreda Rd",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920692973",
"country_code": "US",
"telephone_number": "760-736-6767",
"fax_number": "760-736-8740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILSON",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "AK",
"license": "4703",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "88159",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "75-153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018450",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ggilson9914@ak.providencedirect.org",
"affiliation": "N",
"address_1": "3340 PPOVIDENCE DR.",
"address_2": "Suite A-567",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "99508",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ggilson9914@ak.providencedirect.org",
"affiliation": "N",
"address_1": "3340 Providence Dr Ste A-370",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995084691",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.