Provider Type Icon

MR. CRAIG LUND GILLESPIE MD NPI 1609885037


NPI Information

NPI: 1609885037
Provider Name: MR. CRAIG LUND GILLESPIE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D1091678

Address:
1525 WEBSTER STREET
SUITE C
FAIRFIELD, CA
ZIP 94533
Phone: (707) 428-0777
Get Directions

MR. Craig Lund Gillespie, MD is a family medicine in Fairfield, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Craig Lund Gillespie, MD NPI is 1609885037. 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:

1525 WEBSTER STREET
SUITE C
FAIRFIELD, CA
ZIP 94533-935
Phone: (707) 428-0777
Fax: (707) 428-3925

The NPI 1609885037 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 CLIA number assigned to this NPI record is 05D1091678 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Urinalysis, manual test (HCPCS:81002)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Destruction of skin growth (HCPCS:17000)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/26/2009.


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
1207Q00000XFamily MedicineG51486CALIFORNIAYes

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
1AY934ZMEDICARE PINCALIFORNIA
2680131794OTHERCALIFORNIATAX ID NUMBER
3A52005MEDICARE UPIN
44544718MEDICAIDCALIFORNIA

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

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.