ELIZABETH E GILLES MD NPI 1376647636

NPI Information

NPI: 1376647636
Provider Name: ELIZABETH E GILLES, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
360 SHERMAN ST
SUITE 399
SAINT PAUL, MN
ZIP 55102
Phone: (651) 356-6080
Get Directions

Elizabeth E Gilles, MD is a neurology with special qualifications in child neurology psychiatry neurology in Saint Paul, MN with 41 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Elizabeth E Gilles, MD NPI is 1376647636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

360 SHERMAN ST
SUITE 399
SAINT PAUL, MN
ZIP 55102-564
Phone: (651) 356-6080
Fax: (651) 356-8486

The NPI 1376647636 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 9/8/2006 and was last updated on 3/18/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		42885	MINNESOTA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	42885	MINNESOTA	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	42885	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E71853	MEDICARE UPIN
2	849640400	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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