George E Gilmore, PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0788 Issued in CO

Practice address

103 Sandler Dr
Lafayette, CO 80026-2536

Phone

(303) 919-4503

Fax

(720) 887-4663

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Geriserve P C

  • Medical Physician Assistant
  • Lafayette, CO
  • NPI 1649336967
  NPD (past) Authorized official
• Apex Emergency Group, Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1740231356
  NPD (past)
• Platte Valley Emergency Physicians, PC

  • Emergency Medicine Physician
  • Brighton, CO
  • NPI 1508836198
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1609840966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SANDLER DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262536",
            "telephone_number": "303-919-4503",
            "fax_number": "720-887-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SANDLER DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262536",
            "telephone_number": "303-919-4503",
            "fax_number": "720-887-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "0788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91433045",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollyanne Giffin, CSW
• Lindsey Gilbert, BCBA
• Michelle Gilio, LPC
• Aaron S Gillespie, PSYD, LPC, PSYC
• Charles P Gillespie, M.D.
• Mona Jean Gilmore, NP
• Anna Lynne Gilmour, MA
• Brooke Gilstad, AUD
• Alexi Ginther
• Mario Joseph Giovacchini, MD

• Emergency Medicine Physician in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.