Individual provider Active NPI

Gayle Gilroy, MD

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1972556579
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24467 Issued in CO
Practice address
6071 E Woodmen Rd
Suite 105
Colorado Springs, CO 80923
Phone
(719) 597-8704
Fax
(719) 597-6864
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24467 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd
Suite 105
Colorado Springs, CO 80923

Mailing address

6071 E Woodmen Rd
Suite 105
Colorado Springs, CO 80923
Phone (719) 597-8704

Other identifiers 1

IdentifierTypeStateIssuer
01244672MedicaidCA

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 Medicine

State licenses

LicenseStateTypeSpecialty
24467COMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1972556579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80923",
            "telephone_number": "719-597-8704",
            "fax_number": "719-597-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80923",
            "telephone_number": "719-597-8704",
            "fax_number": "719-597-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILROY",
        "first_name": "GAYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "24467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01244672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.