Jim Gilbert

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

20634211 Issued in AZ

Practice address

5760 S Eland Dr
Fort Mohave, AZ 86426-9293

Phone

(928) 533-7221

Fax

(888) 503-3633

NPI assigned

Dec 28, 2010

Last updated

Feb 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Assisted Living Locators-Transportation

  • Private Vehicle
  • Fort Mohave, AZ
  • NPI 1699071654

  Non-Emergency Medical Transport (Van)

  NPD (past) Authorized official
• Assisted Living Locators - Transportation

  • Secured Medical Transport (VAN)
  • Fort Mohave, AZ
  • NPI 1902177686
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1821392333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 N 31ST LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534809",
            "telephone_number": "928-533-7221",
            "fax_number": "888-503-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 S ELAND DR",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269293",
            "telephone_number": "928-533-7221",
            "fax_number": "888-503-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "20634211",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": "20634211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Mohave Physical Therapy Inc
• Fort Mojave Mesa Fire Department
• Founders Healthcare, LLC
• Lisa Franklin
• Stephanie Marie Garney
• Rebecca Lynn Gleason
• Bernard T. Gosma, RPH.
• Grapevine Clinic LLC
• Guardian Hospice, LLC (Arizona Life Hospice - Mohave)
• Adriana Hall, DO

• Private Vehicle in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Private Vehicle in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.