Individual
DR. JOHN A GILLEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MAIN ST, GRANDVIEW, MO 64030-2477
(816) 331-6700
(816) 876-2399
Mailing address
900 MAIN ST, GRANDVIEW, MO 64030-2477
(816) 331-6700
(816) 876-2399
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
110898
MO
207X00000X
Orthopaedic Surgery Physician
30353
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17519026
BCBS GROUP #
MO
05
—
208537613
—
MO
05
—
208537621
—
KS
05
—
208537639
—
MO
01
—
23296023
BCBS INDIVIDUAL #
MO
01
—
607374400
DEPT OF LABOR
MO
Enumeration date
06/01/2005
Last updated
02/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us