Active NPI
Deborah Gillispie, MD
- Emergency Medicine Physician
- Huntington, WV
National Provider Identifier
1891992756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 16944
- Practice address
- 1340 Hal Greer Blvd
Huntington, WV 25701-3800 - Phone
- (304) 526-2200
- Fax
- (304) 526-2139
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16944 | WV | |
| Emergency Medicine Physician | 207P00000X | 16944 | WV | Primary |
Addresses
Primary practice location
1340 Hal Greer Blvd
Huntington, WV 25701-3800
Mailing address
1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16944 | Other | WV | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Huntington, Inc | Current | Accepting new patients | |
| Hospice of Huntington, Inc | Current | Accepting new patients | |
| Hospice of Huntington, Inc. | Family Medicine | Past | Accepting new patients |
| Hospice of Huntington, Inc. | Family Medicine | Past | Accepting new patients |
Locations
48 Private Drive 339
South Point, OH 45680
Phone (304) 894-0013
1101 6th Ave
Huntington, WV 25701
Phone (304) 522-2928
Interoperability endpoints
- dgillispiemd@hunt.ssdirect.aprima.com
Organizations & group practices 4
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Huntington, WV
- NPI 1972018646
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- South Point, OH
- NPI 1740789080
-
- Community Based Hospice Care Agency
- Huntington, WV
- NPI 1770565053
Family Medicine
-
- Community Based Hospice Care Agency
- South Point, OH
- NPI 1801036025
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891992756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013800",
"telephone_number": "304-526-2200",
"fax_number": "304-526-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013800",
"telephone_number": "304-526-2200",
"fax_number": "304-526-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLISPIE",
"first_name": "DEBORAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "16944",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "16944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "16944",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.