1750316436 NPI number — DR. JAMES F GIGANTE MD

Table of content: DR. JAMES F GIGANTE MD (NPI 1750316436)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750316436 NPI number — DR. JAMES F GIGANTE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIGANTE
Provider First Name:
JAMES
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750316436
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 BILL FRIES DR
Provider Second Line Business Mailing Address:
BUILDING H
Provider Business Mailing Address City Name:
HILTON HEAD ISLAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29926-2730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-681-2222
Provider Business Mailing Address Fax Number:
843-681-4721

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 BILL FRIES DR
Provider Second Line Business Practice Location Address:
BUILDING H
Provider Business Practice Location Address City Name:
HILTON HEAD ISLAND
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29926-2730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-681-2222
Provider Business Practice Location Address Fax Number:
843-681-4721
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  23368 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 571105505 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 110240415 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 6896 . This is a "PTAN" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 233688 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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