Provider Demographics
NPI:1386045003
Name:GILMAN, DORIT (NP)
Entity Type:Individual
Prefix:MISS
First Name:DORIT
Middle Name:
Last Name:GILMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DORIT
Other - Middle Name:T
Other - Last Name:GILMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:10500 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4402
Mailing Address - Country:US
Mailing Address - Phone:513-865-1111
Mailing Address - Fax:513-557-4104
Practice Address - Street 1:10500 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4402
Practice Address - Country:US
Practice Address - Phone:513-865-1111
Practice Address - Fax:513-557-4104
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16441363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH381030Medicare PIN
OHP01379016Medicare PIN