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JONATHAN GULLY M.D. NPI 1568650158


NPI Information

NPI: 1568650158
Provider Name: JONATHAN GULLY, M.D.
Classification: Internal Medicine - 207RH0002X
Entity Type: Individual

Specialization: Hospice and Palliative Medicine

Organization: THE MEDICAL COLLEGE OF WISCONSIN INC

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
PALLIATIVE CARE-CANCER CENTER BUILDING
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-4607
Get Directions

Jonathan Gully, M.D. is a hospice and palliative medicine internal medicine in Milwaukee, WI with 20 years of experience. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. Jonathan Gully, M.D. NPI is 1568650158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

9200 W WISCONSIN AVE
PALLIATIVE CARE-CANCER CENTER BUILDING
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-4607
Fax: (414) 805-4608

The NPI 1568650158 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 10/9/2007 and was last updated on 11/22/2013.


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
1207RH0003XInternal MedicineHematology & Oncology53292WISCONSINNo
2208000000XPediatrics53292-020WISCONSINNo
3207R00000XInternal Medicine235276MASSACHUSETTSNo
4207RH0002XInternal MedicineHospice and Palliative Medicine53292WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1736011503MEDICARE PINWEST VIRGINIA
21568650158MEDICAIDWISCONSIN
368086 1092MEDICARE PINWISCONSIN

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.