Mr. Michael J Gillis, PA-C
Physician Assistant, Medical in Agawam, Massachusetts
1487061016- Practice location
- 230 Main St, Agawam, MA 01001-1838
- Phone
- 413-789-6800
- Fax
- —
- Last updated
- July 15, 2014
Michael John Gillis is a Physician Assistant, Medical based in Agawam, MA. Michael John Gillis practices in Agawam, MA and has the professional credentials of PA-C. The NPI Number for Michael John Gillis is 1487061016 and holds a License No. PA5093 (MA). The current practice location address for Michael John Gillis is 230 Main St, Agawam, MA 01001-1838 and can be reached out via phone at 413-789-6800.
Provider Profile Details
- NPI Number
- 1487061016
- Provider Name
- Michael John Gillis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 230 Main St, Agawam, MA 01001-1838
- Phone Number
- 413-789-6800
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2014
- Last Update Date
- July 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 Main St
Agawam, MA 01001-1838 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-1838
- Phone Number
- 413-789-6800
Provider Business Mailing Address Details
- Address
- 230 Main St
Agawam, MA 01001-1838 - City
- Agawam
- State
- MA
- Zip
- 01001-1838
- Phone Number
- 413-789-6800
License Information
- License Number
- PA5093
- License State
- MA
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Michael J Gillis, PA-C?
The NPI number of Mr. Michael J Gillis, PA-C is 1487061016. It was assigned on July 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Michael J Gillis, PA-C?
Mr. Michael J Gillis, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA5093.
Where does Mr. Michael J Gillis, PA-C practice?
The practice location is 230 Main St, Agawam, MA 01001-1838. The office can be reached at 413-789-6800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487061016 directly on the NPPES registry website.