Provider Demographics
NPI:1578540241
Name:GILL, JAMES STEWART (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEWART
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 N MOUNT VERNON DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-3715
Mailing Address - Country:US
Mailing Address - Phone:319-341-0770
Mailing Address - Fax:
Practice Address - Street 1:313 N MOUNT VERNON DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-3715
Practice Address - Country:US
Practice Address - Phone:319-341-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35047207Q00000X
IN01076970A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine