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DR. BLAIR GORDON GILL M.D. NPI 1124357926


NPI Information

NPI: 1124357926
Provider Name: DR. BLAIR GORDON GILL, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SONORAN RADIOLOGY LTD

PECOS Registration: Yes

Address:
70 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-6071
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DR. Blair Gordon Gill, M.D. is a diagnostic radiology radiology in Cape Girardeau, MO with 37 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Blair Gordon Gill, M.D. NPI is 1124357926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
Graduation Year:1987

The provider's business location address is:

70 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-928
Phone: (573) 334-6071
Fax: (573) 334-4739

The NPI 1124357926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2009 and was last updated on 5/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology2009036451MISSOURINo
22085R0204XRadiologyVascular & Interventional Radiology2009036451MISSOURINo
32085R0202XRadiologyDiagnostic Radiology292167-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.