Active NPI
James Gilleland, DO
- Emergency Medicine Physician
- Muskegon, MI
National Provider Identifier
1831139716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101007299
- Practice address
- 1500 E Sherman Blvd
Muskegon, MI 49443 - Phone
- (231) 739-9341
- NPI assigned
- Jun 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101007299 | MI | Primary |
Addresses
Primary practice location
1500 E Sherman Blvd
Muskegon, MI 49443
Mailing address
PO Box 673397
Detroit, MI 48267-3397
Phone (868) 866-7139
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JG007299 | Other | MI | BCBS |
| 114735129 | Medicaid | MI | |
| 112755964 | Medicaid | MI |
Other names 1
- J. B. Gilleland
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1831139716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 673397",
"city": "DETROIT",
"state": "MI",
"postal_code": "482673397",
"telephone_number": "868-866-7139",
"fax_number": "616-975-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49443",
"telephone_number": "231-739-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLELAND",
"first_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101007299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "JG007299",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114735129",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112755964",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J.",
"last_name": "GILLELAND",
"middle_name": "B.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.