NPIMap

Individual provider Active NPI

Ernest F Gillan, MD

  • Family Medicine Physician
  • Paoli, PA
National Provider Identifier
1730103029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
033802E Issued in PA
Practice address
250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Phone
(610) 644-8069
Fax
(610) 644-6736
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 033802E PA Primary

Addresses

Primary practice location

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743

Mailing address

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Phone (610) 644-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000332 PA Practitioner - Family Practice 6800859091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Paoli Family MedicineGroup PAC ID 8325022759, 10 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1798
Phone (610) 644-8069

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033802EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paoli Family Medicine Family Medicine CurrentSince Nov 9, 2004 Accepting new patients

Locations

250 W Lancaster Ave
Paoli, PA 19301
Phone (610) 296-8833

250 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-8069

250 W Lancaster Ave
Ste 120V
Paoli, PA 19301

Interoperability endpoints

  • Direct secure messaging: ernest.gillan@pfmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paoli HospitalPaoli, PA, CCN 390153 Hospital Corporate Director Jul 1, 2018
Riddle HospitalMedia, PA, CCN 390222 Hospital Corporate Director Jul 1, 2018
Bryn Mawr HospitalBryn Mawr, PA, CCN 390139 Hospital Corporate Director Jul 1, 2018
Bryn Mawr Hospital Psychiatric UnitBryn Mawr, PA, CCN 39S139 Hospital Corporate Director Jul 1, 2018
Lankenau Medical CenterWynnewood, PA, CCN 390195 Hospital Corporate Director Jul 1, 2018
Bryn Mawr Rehabilitation HospitalMalvern, PA, CCN 393025 Hospital Corporate Director Jul 1, 2018

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730103029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011743",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011743",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAN",
        "first_name": "ERNEST",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "033802E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.