Sam Gaines is a Internal Medicine in Normal, Illinois. Sam Gaines practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Sam Gaines is 1730115643. The last update date is 2021-12-28.
Sam Gaines's current location address is Virginia & Franklin Streets, Normal, Illinois. You can contact this provider via phone number 3098274321. The mailing address for Sam Gaines is Virginia & Franklin Streets, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Gaines |
|---|---|
| Address | Virginia & Franklin Streets, Normal, Illinois |
| Phone Number | 3098274321 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730115643 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2021-12-28 |
Provider Mailing Address Detail
| Address | Virginia & Franklin Streets |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 61761 |
| Phone Number | 3098274321 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36057022 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036057022-1 | IL | -- | |
| 5721369 | IL | BC/BS | |
| 36057022 | IL | -- |
Post Comment/ Review Below
What is the Sam Gaines's 1730115643?
The Sam Gaines's NPI (National Provider Identifier) Number is 1730115643. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sam Gaines's physical address?
The Sam Gaines is physically located at Virginia & Franklin Streets, in the city of Normal, IL, with the postal code 61761.
What is the Sam Gaines's area of specialization and corresponding taxonomy classification?
The Sam Gaines's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1730115643 to Sam Gaines?
The Sam Gaines received its 1730115643 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information regarding Sam Gaines most recently updated?
The details pertaining to the Sam Gaines, including its address, specialty, and other relevant information, were last refreshed on 2021-12-28.