Active NPI
Robert Thaine Gilliland, PA
- Physician Assistant
- Brighton, CO
National Provider Identifier
1952374381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 104
- Practice address
- 1600 Prairie Center Pkwy
Brighton, CO 80601-4006 - Phone
- (303) 458-1600
- Fax
- (303) 654-8170
- NPI assigned
- Feb 8, 2006
- Last updated
- May 11, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 104 | CO | Primary |
Addresses
Primary practice location
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Mailing address
1241 W Mineral Ave
Suite 100
Littleton, CO 80120-5685
Phone (303) 759-0854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07010408 | Medicaid | CO | |
| 970016341 | Other | CO | RR MEDICARE |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton County Hospital | Past | Accepting new patients | |
| Platte Valley Emergency Physicians, PC | Past | Accepting new patients | |
| Rehabilitation Associates of Colorado PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1508836198
-
- Physical Medicine & Rehabilitation Physician
- Thornton, CO
- NPI 1932272689
-
dba Norton Medical Clinic
- Rural Health Clinic/Center
- Norton, KS
- NPI 1134125073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1952374381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 W MINERAL AVE",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205685",
"telephone_number": "303-759-0854",
"fax_number": "303-759-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PRAIRIE CENTER PKWY",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806014006",
"telephone_number": "303-458-1600",
"fax_number": "303-654-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLILAND",
"first_name": "ROBERT",
"middle_name": "THAINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07010408",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970016341",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.