Gillespie Plastic and Reconstructive Surgery

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

C1-0012570 Issued in DE

Legal business name

GILLESPIE PLASTIC AND RECONSTRUCTIVE SURGERY

Practice address

2383 Limestone Rd
2ND Floor
Wilmington, DE 19808-4130

Phone

(302) 274-2996

Fax

(302) 274-2987

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. John W Gillespie III, MDNPI 1790002954

Title

Owner

Phone

(302) 274-2996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Gillespie III, M.D.

  • Plastic Surgery Physician
  • Wilmington, DE
  • NPI 1790002954

  DE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1922591320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 LIMESTONE RD",
            "address_2": "2ND FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084130",
            "telephone_number": "302-274-2996",
            "fax_number": "302-274-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 LIMESTONE RD",
            "address_2": "2ND FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084130",
            "telephone_number": "302-274-2996",
            "fax_number": "302-274-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLESPIE PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-274-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DE",
            "license": "C1-0012570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Gilder
• Mallory Hansen Giles, LCSW
• James M Gill, MD
• Pamela Lynn Gill, OTR/L
• Sabrina Gill, CPNP-AC
• John W Gillespie III, M.D.
• Lauren G Gillespie, PA-C
• Rayanne Ferenz Gillies, PH.D.
• Robin Jane Gilligan, APN
• Stephen Leonard Gilpin, CNMT

• All providers in Wilmington, DE
• Plastic and Reconstructive Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.