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Jacob R Gillen, MD
Surgical Critical Care Physician in Roanoke, Virginia
NPI 1952625576

Jacob R Gillen is a Surgical Critical Care Physician based in Roanoke, VA and is specialized in Surgical Critical Care. Jacob R Gillen practices in Roanoke, VA and has the professional credentials of MD. The NPI Number for Jacob R Gillen is 1952625576 and holds a License No. 4301109915 (Virginia).

The current practice location address for Jacob R Gillen is 1906 Belleview Ave Se, Roanoke, VA and can be reached out via phone at 540-981-7000 and via fax at 540-981-8429. You can also correspond with Jacob R Gillen through the mailing address at 1906 BELLEVIEW AVE SE, ROANOKE, VA - 24014-1838 (mailing address contact number: 540-981-7000).

Location: 1906 Belleview Ave Se, Roanoke, VA, 24014-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952625576
Provider Name
Jacob R Gillen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1906 Belleview Ave Se, Roanoke, VA, 24014-1838
Phone Number
540-981-7000
Fax Number
540-981-8429
Provider Enumeration Date
03/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1906 Belleview Ave Se
City
Roanoke
State
Virginia
Zip
24014
Phone Number
540-981-7000
Fax Number
540-981-8429
person
Provider Business Mailing Address Details
Address
1906 Belleview Ave Se
City
Roanoke
State
Virginia
Zip
24014
Phone Number
540-981-7000
Fax Number
540-981-8429
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
2086S0102X
License No.
0101264407 (Virginia)
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301109915 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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