Douglas Terry Gillis in Las Cruces - Podiatrist
Douglas Terry Gillis - NPI 1689667792
Douglas Terry Gillis is a Podiatrist in Las Cruces, New Mexico. Douglas Terry Gillis practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Douglas Terry Gillis is 1689667792. The last update date is 2007-10-29.
Douglas Terry Gillis's current location address is 780 S Walnut St, Las Cruces, New Mexico. You can contact this provider via phone number 5055253980 and fax number 5055268529. The mailing address for Douglas Terry Gillis is 780 S Walnut St, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Terry Gillis |
|---|---|
| Address | 780 S Walnut St, Las Cruces, New Mexico |
| Phone Number | 5055253980 |
| Fax Number | 5055268529 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1689667792 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 780 S Walnut St |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880011425 |
| Phone Number | 5055253980 |
| Fax Number | 5055268529 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 196 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 469220001 | NM | DMERC | |
| 88001A00Z | NM | TRICARE WPS | |
| 52993 | NM | -- | |
| 16042 | NM | PRESBYTERIAN | |
| NM005364 | NM | BC BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas Terry Gillis by the Centers for Medicare & Medicaid Services?
The Douglas Terry Gillis has been issued the NPI (National Provider Identifier) 1689667792, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Douglas Terry Gillis is physically located?
The Douglas Terry Gillis is situated at the following address: 780 S Walnut St, Las Cruces, NM 880011425.
What is Douglas Terry Gillis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Terry Gillis's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689667792 to Douglas Terry Gillis?
The Centers for Medicare & Medicaid Services assigned the 1689667792 to Douglas Terry Gillis on 2005-08-24.
When was the information pertaining to Douglas Terry Gillis most recently updated or revised?
The details related to Douglas Terry Gillis, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-29.