Gillette Infusion Center LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

GILLETTE INFUSION CENTER LLC

Practice address

1503 Cressett St
Gillette, WY 92716

Phone

(307) 686-4940

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Raoul Joubran, MD

Title

President

Phone

(307) 686-4940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1982977732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 CRESSETT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "92716",
            "telephone_number": "307-686-4940",
            "fax_number": "307-682-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CRESSETT ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "92716",
            "telephone_number": "307-686-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLETTE INFUSION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "JOUBRAN",
        "authorized_official_first_name": "RAOUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-686-4940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landi Frances Geiser, MD
• Samuel Logan George, MD
• Vanessa Ann Gerlosky, RN
• Shaun E Gibson, OTR/L
• Gillette Dental P.C.
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• Gillette Optometric Clinic PC
• Gillette Orthodontics LLC
• Gillette Physical Therapy PC

• All providers in Gillette, WY
• Infusion Therapy Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.