Healthcare Provider Details

I. General information

NPI: 1346166006
Provider Name (Legal Business Name): JOHN H GILBOY III PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. TRAVIS MCDONALD

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 SACO AVE
OLD ORCHARD BEACH ME
04064-1614
US

IV. Provider business mailing address

136 SACO AVE
OLD ORCHARD BEACH ME
04064-1614
US

V. Phone/Fax

Practice location:
  • Phone: 207-710-8119
  • Fax: 207-934-1750
Mailing address:
  • Phone: 207-710-8119
  • Fax: 207-934-1750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number500
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: