Active NPI
Margo L Gillman, PA-C
- Physician Assistant
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007010
- Practice address
- 2909 E Grand River Ave Ste 102
Lansing, MI 48912-4335 - Phone
- (517) 364-8627
- NPI assigned
- Jan 4, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.004113 | IL | |
| Physician Assistant | 363A00000X | 5601007010 | MI | Primary |
Addresses
Primary practice location
2909 E Grand River Ave Ste 102
Lansing, MI 48912-4335
Mailing address
2909 E Grand River Ave Ste 102
Lansing, MI 48912-4335
Phone (517) 364-8627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140623001183 | MI | Practitioner - Physician Assistant | 0143480640 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital AssociationVituity - Michigan Hospitalists PC
Practice addresses (Care Compare)
1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1864
Phone (517) 484-4033
1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1899
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000
406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-3131
Hospital & facility affiliations
- Sparrow Home Care
- Edward W Sparrow Hospital
- University of Michigan Health - Sparrow Eaton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.004113 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients | |
| F G Obregon & Associates SC | Past | Accepting new patients | |
| Fox Valley Physician Services SC | Physician Assistant | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1200 E Michigan Ave
Ste 530
Lansing, MI 48912
Phone (517) 364-5880
1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790
1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777
2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670
716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Organizations & group practices 31
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.
-
- Multi-Specialty Clinic/Center
- Lansing, MI
- NPI 1023659802
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- Urology Physician
- Lansing, MI
- NPI 1124502851
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1124654793
-
- Family Medicine Physician
- Holt, MI
- NPI 1437400413
-
- Surgery Physician
- Lansing, MI
- NPI 1457744666
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1487154290
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
Hospital
-
- Home Health Agency
- Lansing, MI
- NPI 1972536290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1932479136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 E GRAND RIVER AVE STE 102",
"city": "LANSING",
"state": "MI",
"postal_code": "489124335",
"telephone_number": "517-364-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 E GRAND RIVER AVE STE 102",
"city": "LANSING",
"state": "MI",
"postal_code": "489124335",
"telephone_number": "517-364-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLMAN",
"first_name": "MARGO",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-04",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.004113",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.