Michael Paul Gillispie, PA-C
Physician Assistant, Surgical in Portsmouth, OH. Individual provider (NPI-1).
NPI number1710696976
StatusActive
Last updated in NPPESJun 16, 2023
Details
- NPI
- 1710696976
- Entity type
- Individual (NPI-1)
- Name
- Michael Paul Gillispie
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Jun 16, 2023
- Last updated
- Jun 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 50.007812RX | OH | Yes |
| 363A00000X | Physician Assistant | 50.007812RX | OH |
Practice location
1805 27th StPortsmouth, OH 45662-2686
Phone 740-356-8117 · Fax 740-353-1214
Mailing address
1735 27th St Ste B06Portsmouth, OH 45662-2681
Phone 740-356-8681 · Fax 740-356-1256
Other practice locations
1248 Kinneys Ln
Portsmouth, OH 45662-2994
Portsmouth, OH 45662-2994
Phone 740-356-7290 · Fax 740-356-7938
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