DR. MARLAND DALE GILBERT D.C MSPAS PA-C NPI 1487676607

NPI Information

NPI: 1487676607
Provider Name: DR. MARLAND DALE GILBERT, D.C, MSPAS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
255 SMITH AVE N STE 100
SAINT PAUL, MN
ZIP 55102
Phone: (651) 241-7246
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DR. Marland Dale Gilbert, D.C, MSPAS, PA-C is a surgical physician assistant in Saint Paul, MN with 16 years of experience. DR. Marland Dale Gilbert, D.C, MSPAS, PA-C NPI is 1487676607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 SMITH AVE N STE 100
SAINT PAUL, MN
ZIP 55102-518
Phone: (651) 241-7246

The NPI 1487676607 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 7/24/2006 and was last updated on 11/10/2020.

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	363A00000X	Physician Assistant		10539	MINNESOTA	No
2	363AS0400X	Physician Assistant	Surgical	10539	MINNESOTA	Yes
3	111NR0400X	Chiropractor	Rehabilitation	5235	MINNESOTA	No

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	5235	OTHER	MINNESOTA	CHIROPRACTIC LICENSE
2	10539	OTHER	MINNESOTA	PHYSICIAN ASSISTANT LICENCE

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: 4/28/2024

NPI Synchronization or Removal

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