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1053525907

NPI Code Detail

MEDICARE: DR. ROBERT JAMES GILLESPIE MD

MEDICARE: DR. ROBERT JAMES GILLESPIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35.096869	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PO1027985	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9525778	OTHER		AETNA
4	000000728764	OTHER		UNISON
5	000000728764	OTHER		ANTHEM
6	614125	OTHER	OH	WELLCARE
7	2048816199FE	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1053525907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAMES GILLESPIE MD

Provider Business Mailing Address
First Line	:	11000 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1714
Country	:	US
Telephone Number	:	216-844-3234
Fax Number	:

Provider Business Practice Location Address
First Line	:	11000 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1714
Country	:	US
Telephone Number	:	216-844-3234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	12/07/2020

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Directions to “ DR. ROBERT JAMES GILLESPIE MD” Practice Location

Language	Start Address	Practice Location

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